Provider Demographics
NPI:1164503728
Name:HALLE, AARON T (DC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:T
Last Name:HALLE
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 1:1857 N. KOLB RD.
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715
Mailing Address - Country:US
Mailing Address - Phone:520-290-2229
Mailing Address - Fax:520-290-2236
Practice Address - Street 1:1857 N KOLB RD
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-4900
Practice Address - Country:US
Practice Address - Phone:520-290-2229
Practice Address - Fax:520-290-2236
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2008-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ65314111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ484918Medicare UPIN
AZZ7932Medicare PIN