Provider Demographics
NPI:1366544512
Name:OXENRIDER, AARON MICHAEL (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:MICHAEL
Last Name:OXENRIDER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:16095 PROSPERITY DR
Mailing Address - Street 2:SUITE 100
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46060-4259
Mailing Address - Country:US
Mailing Address - Phone:317-774-2998
Mailing Address - Fax:800-926-0702
Practice Address - Street 1:16095 PROSPERITY DR
Practice Address - Street 2:SUITE 100
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46060-4259
Practice Address - Country:US
Practice Address - Phone:317-774-2998
Practice Address - Fax:800-926-0702
Is Sole Proprietor?:No
Enumeration Date:2006-09-01
Last Update Date:2013-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN08002074A111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN211630AMedicare ID - Type UnspecifiedCHIROPRACTOR