Provider Demographics
NPI:1386616522
Name:SANDERS, AARON LEE (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:LEE
Last Name:SANDERS
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 1:3850 FRUIT ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16504-2022
Mailing Address - Country:US
Mailing Address - Phone:716-713-0284
Mailing Address - Fax:814-899-5206
Practice Address - Street 1:4600A BUFFALO RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16510-2207
Practice Address - Country:US
Practice Address - Phone:814-899-6902
Practice Address - Fax:814-899-5206
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-02
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009244111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAV03426Medicare UPIN
PA087453Medicare ID - Type Unspecified