Provider Demographics
NPI:1720594021
Name:EXPLORE FAMILY CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:EXPLORE FAMILY CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:TOUMAZOS
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:330-954-0243
Mailing Address - Street 1:PO BOX 113
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:OH
Mailing Address - Zip Code:44202-0113
Mailing Address - Country:US
Mailing Address - Phone:330-954-0243
Mailing Address - Fax:
Practice Address - Street 1:344 AURORA COMMONS CIR
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:OH
Practice Address - Zip Code:44202-8828
Practice Address - Country:US
Practice Address - Phone:330-954-0243
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-21
Last Update Date:2017-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHDC-04769111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty