Provider Demographics
NPI:1770812430
Name:AFFORDABLE CHIROPRACTIC CENTER INC
Entity type:Organization
Organization Name:AFFORDABLE CHIROPRACTIC CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:COREY
Authorized Official - Middle Name:ALAN
Authorized Official - Last Name:WEISSER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:270-635-2890
Mailing Address - Street 1:881 WEST NORTH BEND ROAD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45224
Mailing Address - Country:US
Mailing Address - Phone:523-242-2888
Mailing Address - Fax:513-242-2296
Practice Address - Street 1:881 WEST NORTH BEND ROAD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45224
Practice Address - Country:US
Practice Address - Phone:513-242-2888
Practice Address - Fax:513-242-2296
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2010-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9390671Medicare PIN