Provider Demographics
NPI:1700813912
Name:COLLINS, AARON MICHAEL (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:MICHAEL
Last Name:COLLINS
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 1:619 SW 152ND ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-2212
Mailing Address - Country:US
Mailing Address - Phone:206-242-0998
Mailing Address - Fax:206-244-3962
Practice Address - Street 1:619 SW 152ND ST
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-2212
Practice Address - Country:US
Practice Address - Phone:206-242-0998
Practice Address - Fax:206-244-3962
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034322111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1700813912OtherINDIVIDUAL NPI
WAG8864751OtherINDIVIDUAL PTAN
WA1720205446OtherCORPORATE NPI
WAG8864752OtherGROUP PTAN
WAG8864751OtherINDIVIDUAL PTAN