Provider Demographics
NPI:1225047533
Name:POLLOCK, AARON JEFFERY (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JEFFERY
Last Name:POLLOCK
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 1:790 TURNPIKE ST
Mailing Address - Street 2:SUITE 300
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-6144
Mailing Address - Country:US
Mailing Address - Phone:978-327-5960
Mailing Address - Fax:978-327-5962
Practice Address - Street 1:790 TURNPIKE ST
Practice Address - Street 2:SUITE 300
Practice Address - City:NORTH ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01845-6144
Practice Address - Country:US
Practice Address - Phone:978-327-5960
Practice Address - Fax:978-327-5962
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2758111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3372597OtherAETNA
MA471273OtherTUFTS
MAY36972OtherBCBSMA
MA5497700OtherCCN
MA663541OtherACN
MAPO Y45644Medicare ID - Type Unspecified