Provider Demographics
NPI:1477634269
Name:RICKERT, AARON A (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:A
Last Name:RICKERT
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 1:1371 29TH AVE
Mailing Address - Street 2:STE 1
Mailing Address - City:COLUMBUS
Mailing Address - State:NE
Mailing Address - Zip Code:68601-4926
Mailing Address - Country:US
Mailing Address - Phone:402-564-2622
Mailing Address - Fax:402-563-3717
Practice Address - Street 1:1371 29TH AVE
Practice Address - Street 2:STE 1
Practice Address - City:COLUMBUS
Practice Address - State:NE
Practice Address - Zip Code:68601-4926
Practice Address - Country:US
Practice Address - Phone:402-564-2622
Practice Address - Fax:402-563-3717
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1163111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE09766OtherBLUE CROSS
NE24488OtherMIDLANDS CHOICE
NE100250120-00Medicaid
NEP00077574OtherRAILROAD MEDICARE
NE276895Medicare PIN
NE09766OtherBLUE CROSS