Provider Demographics
NPI:1639125875
Name:SCHROEDER, AARON CHRISTIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:CHRISTIAN
Last Name:SCHROEDER
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 1:940 FOX VALLEY DR
Mailing Address - Street 2:
Mailing Address - City:NORTH LIBERTY
Mailing Address - State:IA
Mailing Address - Zip Code:52317-8016
Mailing Address - Country:US
Mailing Address - Phone:319-626-3420
Mailing Address - Fax:
Practice Address - Street 1:850 22ND AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-1565
Practice Address - Country:US
Practice Address - Phone:319-358-8999
Practice Address - Fax:319-834-1128
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA06867111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IAV09102Medicare UPIN