Provider Demographics
NPI:1053395590
Name:AARON, JOSEPH TAYLOR (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:TAYLOR
Last Name:AARON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:JOSEPH
Other - Middle Name:LOREN
Other - Last Name:TAYLOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:3507 NE SUNSET BLVD
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-3330
Mailing Address - Country:US
Mailing Address - Phone:425-277-0222
Mailing Address - Fax:425-277-0246
Practice Address - Street 1:3507 NE SUNSET BLVD
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-3330
Practice Address - Country:US
Practice Address - Phone:425-277-0222
Practice Address - Fax:425-277-0222
Is Sole Proprietor?:No
Enumeration Date:2005-11-29
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00003086111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA0154800OtherDEPT. OF LABOR & INDUTRIES
AB28219Medicare ID - Type Unspecified
WA0154800OtherDEPT. OF LABOR & INDUTRIES