Provider Demographics
NPI:1013219948
Name:AFFORDABLE FAMILY CHIROPRACTIC INC
Entity Type:Organization
Organization Name:AFFORDABLE FAMILY CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DIRK
Authorized Official - Middle Name:CHRISTIAN
Authorized Official - Last Name:CORK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-313-6520
Mailing Address - Street 1:PO BOX 955
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:OH
Mailing Address - Zip Code:45040-0955
Mailing Address - Country:US
Mailing Address - Phone:513-313-6520
Mailing Address - Fax:
Practice Address - Street 1:5190 BRADEN LN
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-6646
Practice Address - Country:US
Practice Address - Phone:513-313-6520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-29
Last Update Date:2023-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1727111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0846697Medicaid