Provider Demographics
NPI:1346258928
Name:CHIROPRACTIC ASSOCIATES, INCORPORATED
Entity Type:Organization
Organization Name:CHIROPRACTIC ASSOCIATES, INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HOUCHIN
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:513-420-9075
Mailing Address - Street 1:2050 CINCINNATI DAYTON RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLETOWN
Mailing Address - State:OH
Mailing Address - Zip Code:45044-8977
Mailing Address - Country:US
Mailing Address - Phone:513-422-7776
Mailing Address - Fax:513-420-9075
Practice Address - Street 1:2050 CINCINNATI DAYTON RD
Practice Address - Street 2:
Practice Address - City:MIDDLETOWN
Practice Address - State:OH
Practice Address - Zip Code:45044-8977
Practice Address - Country:US
Practice Address - Phone:513-422-7776
Practice Address - Fax:513-420-9075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-03
Last Update Date:2022-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH729111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0362316Medicaid
OH0446713Medicare PIN
OH46938Medicare UPIN