Provider Demographics
NPI:1578070140
Name:OZIMEK, AARON JOSEPH (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JOSEPH
Last Name:OZIMEK
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 1:355 MAPLE ST
Mailing Address - Street 2:UNIT 7103
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-1887
Mailing Address - Country:US
Mailing Address - Phone:248-345-9258
Mailing Address - Fax:855-655-4769
Practice Address - Street 1:220 HERITAGE WALK STE 106
Practice Address - Street 2:
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-6458
Practice Address - Country:US
Practice Address - Phone:248-345-9258
Practice Address - Fax:855-655-4769
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-04
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR09990111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor