Provider Demographics
NPI:1235299868
Name:ALDRICH CHIROPRACTIC, PC
Entity Type:Organization
Organization Name:ALDRICH CHIROPRACTIC, PC
Other - Org Name:SUBURBAN CHIROPRACTIC ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:ACQUISTO
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:716-874-2040
Mailing Address - Street 1:2577 SHERIDAN DR
Mailing Address - Street 2:
Mailing Address - City:TONAWANDA
Mailing Address - State:NY
Mailing Address - Zip Code:14150-9411
Mailing Address - Country:US
Mailing Address - Phone:716-874-2040
Mailing Address - Fax:716-832-0124
Practice Address - Street 1:2577 SHERIDAN DR
Practice Address - Street 2:
Practice Address - City:TONAWANDA
Practice Address - State:NY
Practice Address - Zip Code:14150-9411
Practice Address - Country:US
Practice Address - Phone:716-874-2040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-12
Last Update Date:2022-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYX009843-2111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty