Provider Demographics
NPI:1881288488
Name:DODSON, AARON JAMES (DC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:JAMES
Last Name:DODSON
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 1:78-7057 HOLUAKI LOOP
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740
Mailing Address - Country:US
Mailing Address - Phone:808-329-6997
Mailing Address - Fax:808-329-6987
Practice Address - Street 1:74-5565 LUHIA ST
Practice Address - Street 2:STE C2
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-3124
Practice Address - Country:US
Practice Address - Phone:503-639-0778
Practice Address - Fax:503-639-0815
Is Sole Proprietor?:No
Enumeration Date:2021-02-24
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI1522111N00000X
OR6135111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor