Provider Demographics
NPI:1801861646
Name:STOLTZ, AARON ERIC (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:ERIC
Last Name:STOLTZ
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 1:809 NW AUTUMN PARK DR
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-2047
Mailing Address - Country:US
Mailing Address - Phone:515-745-3866
Mailing Address - Fax:
Practice Address - Street 1:403 1ST AVE
Practice Address - Street 2:
Practice Address - City:PERRY
Practice Address - State:IA
Practice Address - Zip Code:50220-1902
Practice Address - Country:US
Practice Address - Phone:515-465-3585
Practice Address - Fax:515-465-4651
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-22
Last Update Date:2015-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004021550111N00000X
IA06328111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor