Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225000000X | Orthotic Fitter | PA.0002148 | CO |
NPI | 1407889405 |
---|---|
Provider Name | Aaron J. Van Hook-Drucker |
First Address | Denver, CO 80217-3862 |
Second Address | Lone Tree, CO 80124-9810 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/07/2006 |
Last Update Date | 19/01/2022 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0330710001 | DMERC (01) | |
60970537 | (05) | CO |
P00779870 | RAILROAD MEDICARE (01) | CO |