Provider Demographics
NPI:1053585794
Name:AARON B MORSE MD INC
Entity type:Organization
Organization Name:AARON B MORSE MD INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AARON
Authorized Official - Middle Name:BENNETT
Authorized Official - Last Name:MORSE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:844-387-5337
Mailing Address - Street 1:1665 DOMINICAN WAY STE 222A
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95065-1515
Mailing Address - Country:US
Mailing Address - Phone:844-387-5337
Mailing Address - Fax:866-264-3890
Practice Address - Street 1:1665 DOMINICAN WAY STE 222A
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95065-1515
Practice Address - Country:US
Practice Address - Phone:844-387-5337
Practice Address - Fax:866-264-3890
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG29846173F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes173F00000XOther Service ProvidersSleep Specialist, PhDGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ29355ZMedicare PIN
CA00G298460Medicare PIN