Provider Demographics
NPI:1275770430
Name:AARON N KIK, D.C., P.C.
Entity Type:Organization
Organization Name:AARON N KIK, D.C., P.C.
Other - Org Name:KIK CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:N
Authorized Official - Last Name:KIK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:616-457-9900
Mailing Address - Street 1:7646 20TH AVE
Mailing Address - Street 2:
Mailing Address - City:JENISON
Mailing Address - State:MI
Mailing Address - Zip Code:49428-8524
Mailing Address - Country:US
Mailing Address - Phone:616-457-9900
Mailing Address - Fax:616-457-9910
Practice Address - Street 1:7646 20TH AVE
Practice Address - Street 2:
Practice Address - City:JENISON
Practice Address - State:MI
Practice Address - Zip Code:49428-8524
Practice Address - Country:US
Practice Address - Phone:616-457-9900
Practice Address - Fax:616-457-9910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-01-09
Last Update Date:2009-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI0G01420OtherBLUE CROSS BLUE SHIELD OF MICHIGAN
MI950G01161OtherBCBS