Provider Demographics
NPI:1699118919
Name:ARMETTA, AARON GENE (DC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:GENE
Last Name:ARMETTA
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 1:16919 AUDREY ST
Mailing Address - Street 2:STE 130
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-3187
Mailing Address - Country:US
Mailing Address - Phone:402-934-7650
Mailing Address - Fax:
Practice Address - Street 1:16919 AUDREY ST
Practice Address - Street 2:STE 130
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-3187
Practice Address - Country:US
Practice Address - Phone:402-934-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-04-17
Last Update Date:2017-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1913111N00000X
GA009431111N00000X
AL2451111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor