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Contact Information

AIDA E SCANLON, PA
3445 S DIXIE DR
MORAINE, OH45439
 Phone: 937-534-0155
 Fax: 937-534-0166
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for AIDA E SCANLON · (Female)

NPI Number 1427409309
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 06/22/2016
Last updated 11/24/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 50000999RX
  • OH Medicaid PENDING
Hospital affiliation(s)
  • KETTERING MEDICAL CENTER - SYCAMORE - (Acute Care)
    4000 MIAMISBURG-CENTERVILLE ROAD
    MIAMISBURG, OH 45342
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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