Provider Demographics
NPI:1407889405
Name:VAN HOOK-DRUCKER, AARON J
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:J
Last Name:VAN HOOK-DRUCKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:AARON
Other - Middle Name:J
Other - Last Name:VAN HOOK-DRUCKER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 173862
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80217-3862
Mailing Address - Country:US
Mailing Address - Phone:303-306-7783
Mailing Address - Fax:303-306-7753
Practice Address - Street 1:26 W DRY CREEK CIR STE 390
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-8064
Practice Address - Country:US
Practice Address - Phone:720-756-1031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2023-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPA.0002148225000000X, 363AM0700X, 363AS0400X, 363A00000X
CO2148363AS0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No225000000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotic Fitter
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO60970537Medicaid
0330710001OtherDMERC
COP00779870OtherRAILROAD MEDICARE
CO60970537Medicaid
COCO305960Medicare PIN
COQ55399Medicare UPIN