MEDICARE: DR. JEREMIAH ADEN DC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111NR0400X	Rehabilitation Chiropractor	60916879	WA

General Provider Information

NPI Number	:	1346873445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JEREMIAH ADEN DC

Provider Business Mailing Address
First Line	:	840 MADISON AVE N STE 102
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-1701
Country	:	US
Telephone Number	:	206-451-4213
Fax Number	:	206-451-4239

Provider Business Practice Location Address
First Line	:	840 MADISON AVE N STE 102
Second Line	:
City	:	BAINBRIDGE ISLAND
State	:	WA
Zip	:	98110-1701
Country	:	US
Telephone Number	:	206-451-4213
Fax Number	:	206-451-4239

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2020
Last Update Date	:	02/11/2026

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