Provider Demographics
NPI:1235139965
Name:HOKANSON, AARON JOHN (DC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:JOHN
Last Name:HOKANSON
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 1:6564 COUNTY ROAD 13
Mailing Address - Street 2:
Mailing Address - City:NISSWA
Mailing Address - State:MN
Mailing Address - Zip Code:56468-2313
Mailing Address - Country:US
Mailing Address - Phone:218-838-6494
Mailing Address - Fax:
Practice Address - Street 1:14213 GOLF COURSE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8432
Practice Address - Country:US
Practice Address - Phone:218-829-8414
Practice Address - Fax:218-828-2005
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN478943100Medicaid
MN478943100Medicaid