Provider Demographics
NPI:1417054123
Name:AARAGON CHIROPRACTIC INC
Entity Type:Organization
Organization Name:AARAGON CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ROSE
Authorized Official - Middle Name:
Authorized Official - Last Name:LEPIEN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:580-353-6776
Mailing Address - Street 1:1201 W GORE BLVD
Mailing Address - Street 2:SUITE A
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73501
Mailing Address - Country:US
Mailing Address - Phone:580-353-6776
Mailing Address - Fax:580-353-1214
Practice Address - Street 1:1201 W GORE BLVD
Practice Address - Street 2:SUITE A
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73501
Practice Address - Country:US
Practice Address - Phone:580-353-6776
Practice Address - Fax:580-353-1214
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-17
Last Update Date:2007-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2608111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
5099291OtherAETNA
471664857002OtherBCBS OF OK
471664857002OtherBCBS OF OK