Provider Demographics
NPI:1942379136
Name:AARON M CASSELMAN DC PC
Entity Type:Organization
Organization Name:AARON M CASSELMAN DC PC
Other - Org Name:PINNACLE CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:M
Authorized Official - Last Name:CASSELMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-683-5060
Mailing Address - Street 1:4185 E WILDCAT RESERVE PKWY
Mailing Address - Street 2:SUITE 220
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-6801
Mailing Address - Country:US
Mailing Address - Phone:303-683-5060
Mailing Address - Fax:
Practice Address - Street 1:4185 E WILDCAT RESERVE PKWY
Practice Address - Street 2:SUITE 220
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-6801
Practice Address - Country:US
Practice Address - Phone:303-683-5060
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5899111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO807406Medicare PIN