Provider Demographics
NPI:1245446954
Name:ARONSON, PRESTON PETER (DC)
Entity type:Individual
Prefix:DR
First Name:PRESTON
Middle Name:PETER
Last Name:ARONSON
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:PO BOX 2702
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80161-2702
Mailing Address - Country:US
Mailing Address - Phone:720-275-6934
Mailing Address - Fax:720-880-3049
Practice Address - Street 1:393 S HARLAN ST
Practice Address - Street 2:SUITE 105
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3572
Practice Address - Country:US
Practice Address - Phone:720-275-6934
Practice Address - Fax:720-880-3049
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2014-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5362111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCOB4259Medicare PIN