Provider Demographics
NPI:1275191702
Name:JOSH AITKEN, D.C., P.C.
Entity Type:Organization
Organization Name:JOSH AITKEN, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:TIMOTHY
Authorized Official - Last Name:AITKEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:308-675-2066
Mailing Address - Street 1:3415 STATE ST STE C2
Mailing Address - Street 2:
Mailing Address - City:GRAND ISLAND
Mailing Address - State:NE
Mailing Address - Zip Code:68803-2467
Mailing Address - Country:US
Mailing Address - Phone:308-675-2066
Mailing Address - Fax:
Practice Address - Street 1:3415 STATE ST STE C2
Practice Address - Street 2:
Practice Address - City:GRAND ISLAND
Practice Address - State:NE
Practice Address - Zip Code:68803-2467
Practice Address - Country:US
Practice Address - Phone:308-675-2066
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-30
Last Update Date:2019-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty