Provider Demographics
NPI:1255576773
Name:BANNISTER, AARON CHRISTIAN (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:CHRISTIAN
Last Name:BANNISTER
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 1:7743 GRAND RIVER RD STE 106
Mailing Address - Street 2:
Mailing Address - City:BRIGHTON
Mailing Address - State:MI
Mailing Address - Zip Code:48114-7393
Mailing Address - Country:US
Mailing Address - Phone:810-224-1254
Mailing Address - Fax:
Practice Address - Street 1:7743 GRAND RIVER RD STE 106
Practice Address - Street 2:
Practice Address - City:BRIGHTON
Practice Address - State:MI
Practice Address - Zip Code:48114-7393
Practice Address - Country:US
Practice Address - Phone:810-224-1254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-12
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301009521111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor