Provider Demographics
NPI:1629373063
Name:BARNES, AARON ROBERT (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:ROBERT
Last Name:BARNES
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 1:1001 PARKWAY AVE STE 5
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46516-9347
Mailing Address - Country:US
Mailing Address - Phone:574-295-9355
Mailing Address - Fax:
Practice Address - Street 1:1001 PARKWAY AVE STE 5
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-9347
Practice Address - Country:US
Practice Address - Phone:574-295-9355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-17
Last Update Date:2019-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002562A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor