Provider Demographics
NPI:1164576351
Name:ERNST, AARON LUCAS (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:LUCAS
Last Name:ERNST
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 1:9401 STATESVILLE RD
Mailing Address - Street 2:SUITE H
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-7600
Mailing Address - Country:US
Mailing Address - Phone:704-999-7068
Mailing Address - Fax:
Practice Address - Street 1:9401 STATESVILLE RD
Practice Address - Street 2:SUITE H
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269-7600
Practice Address - Country:US
Practice Address - Phone:704-999-7068
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2008-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007000669111N00000X
NC3859111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO7863959OtherAETNA PROVIDER NUMBER
MO216854OtherBCBS PROVIDER NUMBER
MO795613OtherHEALTHLINK
MO216854OtherBCBS PROVIDER NUMBER
MO260404806Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER