Provider Demographics
NPI:1669697462
Name:COMMONWEALTH FAMILY CHIROPRACTIC CENTER PSC
Entity type:Organization
Organization Name:COMMONWEALTH FAMILY CHIROPRACTIC CENTER PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:AROMOLA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:859-344-1700
Mailing Address - Street 1:3126 DIXIE HWY
Mailing Address - Street 2:
Mailing Address - City:ERLANGER
Mailing Address - State:KY
Mailing Address - Zip Code:41018-1866
Mailing Address - Country:US
Mailing Address - Phone:859-344-1700
Mailing Address - Fax:859-344-1027
Practice Address - Street 1:3126 DIXIE HWY
Practice Address - Street 2:
Practice Address - City:ERLANGER
Practice Address - State:KY
Practice Address - Zip Code:41018-1866
Practice Address - Country:US
Practice Address - Phone:859-344-1700
Practice Address - Fax:859-344-1027
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3964111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty