Provider Demographics
NPI:1457530958
Name:MICKO, AARON (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:
Last Name:MICKO
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 937
Mailing Address - Street 2:
Mailing Address - City:BRITTON
Mailing Address - State:SD
Mailing Address - Zip Code:57430-0937
Mailing Address - Country:US
Mailing Address - Phone:605-448-5050
Mailing Address - Fax:605-448-5052
Practice Address - Street 1:721 MAIN STREET.
Practice Address - Street 2:PO BOX 937
Practice Address - City:BRITTON
Practice Address - State:SD
Practice Address - Zip Code:57430
Practice Address - Country:US
Practice Address - Phone:605-448-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-31
Last Update Date:2020-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD1120111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4992606OtherWELLMARK OF SD
SD7604832Medicaid
SD0T678MIOtherBCBS OF MN
SD255157OtherMIDLANDS CHOICE CIGNA
SD9252520OtherCASD
SD7604832Medicaid