Provider Demographics
NPI:1134456650
Name:DALTON, AARON M (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:M
Last Name:DALTON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2127 E 23RD AVE S
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:NE
Mailing Address - Zip Code:68025-2498
Mailing Address - Country:US
Mailing Address - Phone:402-727-1677
Mailing Address - Fax:402-727-1678
Practice Address - Street 1:2127 E 23RD AVE S
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:NE
Practice Address - Zip Code:68025-2498
Practice Address - Country:US
Practice Address - Phone:402-727-1677
Practice Address - Fax:402-727-1678
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE00000111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor