Provider Demographics
NPI:1871603985
Name:DRAPER, AARON PAUL (DC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:PAUL
Last Name:DRAPER
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 1:3995 N FRESNO ST
Mailing Address - Street 2:# 102
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93726-4031
Mailing Address - Country:US
Mailing Address - Phone:559-277-4300
Mailing Address - Fax:559-277-4303
Practice Address - Street 1:3995 N FRESNO ST
Practice Address - Street 2:# 102
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93726-4031
Practice Address - Country:US
Practice Address - Phone:559-277-4300
Practice Address - Fax:559-277-4303
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2013-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13768111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC013768Medicare ID - Type Unspecified
T05132Medicare UPIN