MEDICARE: DR. AARON MICHAEL BENZINE DC, ATC

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	2255A2300X	Athletic Trainer
2	111N00000X	Chiropractor	5516-12	WI

General Provider Information

NPI Number	:	1932581410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON MICHAEL BENZINE DC, ATC

Provider Business Mailing Address
First Line	:	W1468 STATE ROAD 16
Second Line	:
City	:	FALL RIVER
State	:	WI
Zip	:	53932-9547
Country	:	US
Telephone Number	:	920-350-2775
Fax Number	:

Provider Business Practice Location Address
First Line	:	W1185 MCCRAE RD
Second Line	:
City	:	FALL RIVER
State	:	WI
Zip	:	53932-9575
Country	:	US
Telephone Number	:	920-484-6444
Fax Number	:

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

Provider Enumeration Date	:	06/22/2015
Last Update Date	:	02/17/2020

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Directions to “ DR. AARON MICHAEL BENZINE DC, ATC” Practice Location

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