Provider Demographics
NPI:1225074032
Name:AFFORD A CARE CHIROPRACTIC, INC.
Entity Type:Organization
Organization Name:AFFORD A CARE CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:L
Authorized Official - Last Name:WRAY
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:330-448-0111
Mailing Address - Street 1:1223 BROOKFIELD RD
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OH
Mailing Address - Zip Code:44425
Mailing Address - Country:US
Mailing Address - Phone:330-448-0111
Mailing Address - Fax:330-448-0544
Practice Address - Street 1:1223 BROOKFIELD RD
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425
Practice Address - Country:US
Practice Address - Phone:330-448-0111
Practice Address - Fax:330-448-0544
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AFFORD A CARE CHIROPRACTIC, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-06-21
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000138770OtherBCBS
OH0339664Medicaid
OH=========00OtherWC
OH0339664Medicaid
T46928Medicare UPIN