1275770430 NPI number — AARON N KIK, D.C., P.C.

Table of content: (NPI 1275770430)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275770430 NPI number — AARON N KIK, D.C., P.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AARON N KIK, D.C., P.C.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275770430
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/17/2009
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
7646 20TH AVE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
JENISON
Provider Business Mailing Address State Name:
MI
Provider Business Mailing Address Postal Code:
49428-8524
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
616-457-9900
Provider Business Mailing Address Fax Number:
616-457-9910

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
7646 20TH AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JENISON
Provider Business Practice Location Address State Name:
MI
Provider Business Practice Location Address Postal Code:
49428-8524
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
616-457-9900
Provider Business Practice Location Address Fax Number:
616-457-9910
Provider Enumeration Date:
01/09/2009

Additional Information

Authorized Official

Authorized Official Last Name:
KIK
Authorized Official First Name:
AARON
Authorized Official Middle Name:
N
Authorized Official Title or Position:
CHIROPRACTOR
Authorized Official Telephone Number:
616-457-9900

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0G01420 . This is a "BLUE CROSS BLUE SHIELD OF MICHIGAN" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".
  • Identifier: 950G01161 . This is a "BCBS" identifier , issued by the state of ( MI ) . This identifiers is of the category "OTHER".




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