Provider Demographics
NPI:1114286341
Name:OFEK FAMILY CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:OFEK FAMILY CHIROPRACTIC, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:OFEK
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:248-224-4383
Mailing Address - Street 1:4585 S COBB DR SE
Mailing Address - Street 2:STE. 300
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6969
Mailing Address - Country:US
Mailing Address - Phone:770-435-8890
Mailing Address - Fax:770-435-8109
Practice Address - Street 1:4585 S COBB DR SE
Practice Address - Street 2:STE. 300
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6969
Practice Address - Country:US
Practice Address - Phone:770-435-8890
Practice Address - Fax:770-435-8109
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-05-08
Last Update Date:2012-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACHIR008966111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty