Provider Demographics
NPI:1649269804
Name:SAUER, AARON D (BA, DC, CCSP)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:D
Last Name:SAUER
Suffix:
Gender:M
Credentials:BA, DC, CCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ELLINWOOD
Mailing Address - State:KS
Mailing Address - Zip Code:67526-1638
Mailing Address - Country:US
Mailing Address - Phone:620-564-2555
Mailing Address - Fax:620-564-2711
Practice Address - Street 1:6 N MAIN ST
Practice Address - Street 2:
Practice Address - City:ELLINWOOD
Practice Address - State:KS
Practice Address - Zip Code:67526-1638
Practice Address - Country:US
Practice Address - Phone:620-564-2555
Practice Address - Fax:620-564-2711
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS01-04026111NS0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NS0005XChiropractic ProvidersChiropractorSports Physician
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSUO1824Medicare UPIN
KS014243Medicare ID - Type Unspecified