Provider Demographics
NPI:1780862623
Name:AARON APPLEBAUM DC PA
Entity type:Organization
Organization Name:AARON APPLEBAUM DC PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDANT/ CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:PHILLIP
Authorized Official - Last Name:APPLEBAUM
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:561-367-9009
Mailing Address - Street 1:1050 NW 15TH ST
Mailing Address - Street 2:SUITE 209A
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-1375
Mailing Address - Country:US
Mailing Address - Phone:561-367-9009
Mailing Address - Fax:561-338-4004
Practice Address - Street 1:1050 NW 15TH ST
Practice Address - Street 2:SUITE 209A
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486-1375
Practice Address - Country:US
Practice Address - Phone:561-367-9009
Practice Address - Fax:561-338-4004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-01
Last Update Date:2013-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH0006394111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
22602Medicare UPIN