Provider Demographics
NPI:1124464482
Name:CHRISTIANSEN, AARON GERALD (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:GERALD
Last Name:CHRISTIANSEN
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 264
Mailing Address - Street 2:
Mailing Address - City:PLAINVIEW
Mailing Address - State:NE
Mailing Address - Zip Code:68769-0264
Mailing Address - Country:US
Mailing Address - Phone:563-210-6075
Mailing Address - Fax:
Practice Address - Street 1:114 E 2ND ST
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:NE
Practice Address - Zip Code:68745-1990
Practice Address - Country:US
Practice Address - Phone:563-210-6075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-14
Last Update Date:2013-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1753111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor