Provider Demographics
NPI:1699007872
Name:VANDERHOOF, AARON JUSTIN (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:JUSTIN
Last Name:VANDERHOOF
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 1:616 UNIVERSITY AVE
Mailing Address - Street 2:
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94301-2019
Mailing Address - Country:US
Mailing Address - Phone:650-323-6184
Mailing Address - Fax:650-323-2033
Practice Address - Street 1:677 COWPER STREET
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94301
Practice Address - Country:US
Practice Address - Phone:800-372-1074
Practice Address - Fax:650-323-6184
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-12
Last Update Date:2013-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC-31509111NS0005X
CADC31509111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NS0005XChiropractic ProvidersChiropractorSports Physician