American Family Chiropractic Center, Inc.
Organization Active NPI Chiropractor · Mason, OH
NPI 1861702367 · NPPES record last updated Sep 27, 2011
Key facts
- NPI
- 1861702367
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 2041 (OH)
- Legal business name
- AMERICAN FAMILY CHIROPRACTIC CENTER, INC.
- Practice address
- 5248 Courseview Dr
Mason, OH 45040-2302 - Phone
- (513) 398-6300
- Fax
- (513) 398-6363
- NPI assigned
- Oct 18, 2010
- Organization subpart
- No
Authorized official
- Name
- Matthew Scott Hakes, D.C.
- Title
- President
- Phone
- (513) 398-6300
National Provider Directory
Locations
5250 Courseview Dr
Ste B
Mason, OH 45040
Phone (513) 398-6300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 2041 | OH | Yes |
Addresses
Primary practice location
5248 Courseview Dr
Mason, OH 45040-2302
Mailing address
5248 Courseview Dr
Mason, OH 45040-2302
Phone (513) 398-6300
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3130598 | Medicaid | OH |
Other providers in Mason, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 27, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.