Provider Demographics
NPI:1295816114
Name:FLETCHER, AARON L (DC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:L
Last Name:FLETCHER
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 1:11809 AL HIGHWAY 157 STE D
Mailing Address - Street 2:
Mailing Address - City:MOULTON
Mailing Address - State:AL
Mailing Address - Zip Code:35650-2708
Mailing Address - Country:US
Mailing Address - Phone:256-974-0415
Mailing Address - Fax:256-974-6964
Practice Address - Street 1:11809 AL HIGHWAY 157 STE D
Practice Address - Street 2:
Practice Address - City:MOULTON
Practice Address - State:AL
Practice Address - Zip Code:35650-2708
Practice Address - Country:US
Practice Address - Phone:256-974-0415
Practice Address - Fax:256-974-6964
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2009111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51509743OtherBCBS
ALU88031Medicare UPIN