Provider Demographics
NPI:1932501582
Name:CHADWICK, AARON (AP, LNC)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:CHADWICK
Suffix:
Gender:M
Credentials:AP, LNC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9700 STIRLING RD
Mailing Address - Street 2:SUITE 107
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8011
Mailing Address - Country:US
Mailing Address - Phone:954-436-6161
Mailing Address - Fax:954-450-9058
Practice Address - Street 1:9700 STIRLING RD
Practice Address - Street 2:SUITE 107
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8011
Practice Address - Country:US
Practice Address - Phone:954-436-6161
Practice Address - Fax:954-450-9058
Is Sole Proprietor?:No
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLNC 247133N00000X
FLAP 956171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No133N00000XDietary & Nutritional Service ProvidersNutritionist