Joseph Krittameth Aicher

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Ann Arbor, MI

NPI 1962254151 · NPPES record last updated Apr 2, 2024

Key facts

NPI
1962254151
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
License
4351052154 (MI)
Practice address
1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone
(734) 998-2020
NPI assigned
Apr 2, 2024
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20240518000363 MI Order and Referring Only - Internal Medicine
Practitioner - Internal Medicine
3870934029

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4351052154 MI Yes

Addresses

Primary practice location

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000

Mailing address

1500 E Medical Center Dr
Ann Arbor, MI 48109-5000
Phone (734) 998-2020

Other providers in Ann Arbor, MI

All providers in Ann Arbor, MI · Student in an Organized Health Care Education/Training Program in Michigan

Sources for this page

Verify at the official NPI Registry.