Provider Demographics
NPI:1669522157
Name:CHIROPRACTIC ASSOCIATES OF OCALA INC
Entity type:Organization
Organization Name:CHIROPRACTIC ASSOCIATES OF OCALA INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:FRAZIER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:352-732-8801
Mailing Address - Street 1:1107 E SILVER SPRINGS BLVD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34470-6758
Mailing Address - Country:US
Mailing Address - Phone:352-732-8801
Mailing Address - Fax:352-732-5839
Practice Address - Street 1:1107 E SILVER SPRINGS BLVD
Practice Address - Street 2:SUITE 6
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34470-6758
Practice Address - Country:US
Practice Address - Phone:352-732-8801
Practice Address - Fax:352-732-5839
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2008-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7381111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7221343OtherAETNA
FL206549OtherHEALTHEASE INSURANCE
FL55914OtherBLUE CROSS BLUE SHIELD
FL266903OtherAVMED INSURANCE
FL206549OtherHEALTHEASE INSURANCE