Provider Demographics
NPI:1073882411
Name:CHIROPRACTIC CARE OF THE COMMONWEALTH, LLC
Entity Type:Organization
Organization Name:CHIROPRACTIC CARE OF THE COMMONWEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:GINTER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:606-783-0233
Mailing Address - Street 1:420 E WILKINSON BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:MOREHEAD
Mailing Address - State:KY
Mailing Address - Zip Code:40351-1481
Mailing Address - Country:US
Mailing Address - Phone:606-783-0233
Mailing Address - Fax:606-780-0266
Practice Address - Street 1:420 E WILKINSON BLVD STE 1
Practice Address - Street 2:
Practice Address - City:MOREHEAD
Practice Address - State:KY
Practice Address - Zip Code:40351-1481
Practice Address - Country:US
Practice Address - Phone:606-783-0233
Practice Address - Fax:606-780-0266
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-14
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5272111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty