Provider Demographics
NPI:1487972006
Name:WILLIAMS, AARON DOUGLAS (DC)
Entity type:Individual
Prefix:DR
First Name:AARON
Middle Name:DOUGLAS
Last Name:WILLIAMS
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 1:919 W CUCHARRAS ST STE 120
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80905-1646
Mailing Address - Country:US
Mailing Address - Phone:719-896-1600
Mailing Address - Fax:719-473-8806
Practice Address - Street 1:919 WEST CUCHARRAS STREET
Practice Address - Street 2:SUITE 120
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80905-1621
Practice Address - Country:US
Practice Address - Phone:719-896-1600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2012-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO6489111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor