Provider Demographics
NPI:1497097133
Name:BECK, AARON R (DC)
Entity Type:Individual
Prefix:MR
First Name:AARON
Middle Name:R
Last Name:BECK
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 1:969 E LINCOLN LN
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:KS
Mailing Address - Zip Code:66030-3701
Mailing Address - Country:US
Mailing Address - Phone:319-504-5806
Mailing Address - Fax:
Practice Address - Street 1:969 E LINCOLN LN
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:KS
Practice Address - Zip Code:66030-3701
Practice Address - Country:US
Practice Address - Phone:319-504-5806
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-20
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6966111N00000X
KS01-05839111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor