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Contact Information

RONI AIZIGOV, CRNA, NP-C
51050 BITTERSWEET RD STE B
GRANGER, IN46530-7879
 Phone: 718-208-0446
 Fax: 574-244-0240
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for RONI AIZIGOV · (Male)

NPI Number 1174876577
Status Active
Credentials CRNA, NP-C
Entity Individual
Enumeration date 10/23/2012
Last updated 10/06/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 28206614A
  • IN License # 71011097A
Hospital affiliation(s)
  • SAINT JOSEPH'S REGIONAL MEDICAL CENTER - PLYMOUTH - (Acute Care)
    1915 LAKE AVE
    PLYMOUTH, IN 46563
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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