Provider Demographics
NPI:1922104561
Name:OBERST, AARON SEBASTIAN (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:SEBASTIAN
Last Name:OBERST
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 1:14 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-3621
Mailing Address - Country:US
Mailing Address - Phone:215-855-6154
Mailing Address - Fax:215-855-7178
Practice Address - Street 1:14 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446
Practice Address - Country:US
Practice Address - Phone:215-855-6154
Practice Address - Fax:215-855-7178
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2018-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009148111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA841681094OtherHEALTHY BALANCE CHIROPRAC