Provider Demographics
NPI:1164838538
Name:FAMILY FIRST CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:FAMILY FIRST CHIROPRACTIC, LLC
Other - Org Name:FAMILY FIRST CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER / DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:
Authorized Official - Last Name:KMETT
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:240-347-4909
Mailing Address - Street 1:11377 ROBINWOOD DR
Mailing Address - Street 2:SUITE E
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21742-6729
Mailing Address - Country:US
Mailing Address - Phone:240-347-4909
Mailing Address - Fax:240-754-2126
Practice Address - Street 1:11377 ROBINWOOD DR
Practice Address - Street 2:SUITE E
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21742-6729
Practice Address - Country:US
Practice Address - Phone:240-347-4909
Practice Address - Fax:240-754-2126
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-07
Last Update Date:2014-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDS03638111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD821413100Medicaid