Provider Demographics
NPI:1376887042
Name:AIKEN, AMBER (DC)
Entity Type:Individual
Prefix:DR
First Name:AMBER
Middle Name:
Last Name:AIKEN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2108 STATE ROUTE 59
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:OH
Mailing Address - Zip Code:44240-7142
Mailing Address - Country:US
Mailing Address - Phone:330-678-9999
Mailing Address - Fax:855-873-5021
Practice Address - Street 1:2108 STATE ROUTE 59
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:OH
Practice Address - Zip Code:44240-7142
Practice Address - Country:US
Practice Address - Phone:330-678-9999
Practice Address - Fax:855-873-5021
Is Sole Proprietor?:No
Enumeration Date:2012-11-19
Last Update Date:2018-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH4337111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor