Provider Demographics
NPI:1437323102
Name:AARON HOKANSON, D.C., P.A.
Entity Type:Organization
Organization Name:AARON HOKANSON, D.C., P.A.
Other - Org Name:BACK TO BASICS CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JOHN
Authorized Official - Last Name:HOKANSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:218-838-6494
Mailing Address - Street 1:14213 GOLF COURSE RD
Mailing Address - Street 2:SUITE 105
Mailing Address - City:BAXTER
Mailing Address - State:MN
Mailing Address - Zip Code:56425-8432
Mailing Address - Country:US
Mailing Address - Phone:218-829-8414
Mailing Address - Fax:218-828-2005
Practice Address - Street 1:14213 GOLF COURSE RD
Practice Address - Street 2:SUITE 105
Practice Address - City:BAXTER
Practice Address - State:MN
Practice Address - Zip Code:56425-8432
Practice Address - Country:US
Practice Address - Phone:218-829-8414
Practice Address - Fax:218-828-2005
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-14
Last Update Date:2009-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4696111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty