MEDICARE: DR. AARON AMIDEI 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	111N00000X	Chiropractor	5851	OR
2	111N00000X	Chiropractor	DC2259	NM

General Provider Information

NPI Number	:	1386154888
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON AMIDEI DC

Provider Business Mailing Address
First Line	:	1198 WARM SPRINGS LN
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-4010
Country	:	US
Telephone Number	:	410-688-7640
Fax Number	:

Provider Business Practice Location Address
First Line	:	3961 E LOHMAN AVE STE 22
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88011-8272
Country	:	US
Telephone Number	:	575-652-3358
Fax Number	:	575-652-3360

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

Provider Enumeration Date	:	10/10/2017
Last Update Date	:	10/16/2023

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Directions to “ DR. AARON AMIDEI DC” Practice Location

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