Provider Demographics
NPI:1982005088
Name:PERKINS, AARON DAVID (DC)
Entity Type:Individual
Prefix:DR
First Name:AARON
Middle Name:DAVID
Last Name:PERKINS
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 627
Mailing Address - Street 2:
Mailing Address - City:PURCELL
Mailing Address - State:OK
Mailing Address - Zip Code:73080-0627
Mailing Address - Country:US
Mailing Address - Phone:405-527-3323
Mailing Address - Fax:405-527-4595
Practice Address - Street 1:1205 N GREEN AVE
Practice Address - Street 2:
Practice Address - City:PURCELL
Practice Address - State:OK
Practice Address - Zip Code:73080-1803
Practice Address - Country:US
Practice Address - Phone:405-527-3323
Practice Address - Fax:405-527-4595
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-08
Last Update Date:2019-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4162111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor