Aaron Matthew M Ingram

Individual provider Active NPI Home Modifications Contractor · Waseca, MN

NPI 1134091366 · NPPES record last updated Sep 18, 2025

Key facts

NPI
1134091366
Entity type
Individual (NPI type 1)
Primary specialty
Home Modifications Contractor 171WH0202X
License
BC794200 (MN)
Practice address
33582 50TH St
Waseca, MN 56093-4801
Phone
(507) 461-0011
NPI assigned
Sep 18, 2025
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
BC794200MNMDHome Modifications Contractor

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Modifications Contractor
Group: 193200000X MULTI-SPECIALTY GROUP
171WH0202X BC794200 MN Yes

Addresses

Primary practice location

33582 50TH St
Waseca, MN 56093-4801

Mailing address

33582 50TH St
Waseca, MN 56093-4801
Phone (507) 461-0111

Other providers in Waseca, MN

All providers in Waseca, MN · Home Modifications Contractor in Minnesota

Sources for this page

Verify at the official NPI Registry.