Provider Demographics
NPI:1811176845
Name:AFFORDABLE CHIROPRACTIC CARE CENTER INC
Entity type:Organization
Organization Name:AFFORDABLE CHIROPRACTIC CARE CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOEHN
Authorized Official - Suffix:
Authorized Official - Credentials:DC, DACO
Authorized Official - Phone:352-332-7400
Mailing Address - Street 1:330 NW 76TH DR
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32607-1593
Mailing Address - Country:US
Mailing Address - Phone:352-332-7400
Mailing Address - Fax:352-331-0902
Practice Address - Street 1:330 NW 76TH DR
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-1593
Practice Address - Country:US
Practice Address - Phone:352-332-7400
Practice Address - Fax:352-331-0902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-26
Last Update Date:2009-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH7074/CH9292111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL381267700Medicaid
FL55378Medicare PIN
FLU60647Medicare UPIN