Provider Demographics
NPI:1821296955
Name:NIELSEN, AARON J (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:J
Last Name:NIELSEN
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 1:6720 S 168TH ST
Mailing Address - Street 2:SUITE 3
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68135-5405
Mailing Address - Country:US
Mailing Address - Phone:402-991-1003
Mailing Address - Fax:
Practice Address - Street 1:6720 S 168TH ST
Practice Address - Street 2:SUITE 3
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68135-5405
Practice Address - Country:US
Practice Address - Phone:402-991-1003
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1468111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor