Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 60916879 | WA |
NPI | 1346873445 |
---|---|
Provider Name | Dr. Jeremiah Aden |
First Address | Seattle, WA 98121-1064 |
Second Address | Seattle, WA 98105-4685 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2020 |
Last Update Date | 17/02/2020 |