Provider Demographics
NPI:1770667784
Name:CORDES CHIROPRACTIC CENTER
Entity Type:Organization
Organization Name:CORDES CHIROPRACTIC CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:CORDES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-592-6050
Mailing Address - Street 1:1035 W WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NAPOLEON
Mailing Address - State:OH
Mailing Address - Zip Code:43545-1357
Mailing Address - Country:US
Mailing Address - Phone:419-592-6050
Mailing Address - Fax:309-210-7509
Practice Address - Street 1:1035 W WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NAPOLEON
Practice Address - State:OH
Practice Address - Zip Code:43545-1357
Practice Address - Country:US
Practice Address - Phone:419-592-6050
Practice Address - Fax:309-210-7509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-25
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH351086OtherBC/BS OF OHIO
OH04183OtherPARAMOUNT HEALTH CARE
OH275726544003OtherHMO HEALTH OHIO
OH275726544003OtherMEDICAL MUTUAL OF OHIO
OH04183OtherPARAMOUNT PREFERRED OPTIONS-MMA
OH351086OtherOHIO OPERAT ENGINEERS
OH351086OtherANTHEM BC/BS OHIO
OH04183OtherPARAMOUNT HEALTH CARE
OHU79384Medicare UPIN
OH275726544003OtherHMO HEALTH OHIO
OH275726544003OtherMEDICAL MUTUAL OF OHIO