Provider Demographics
NPI:1053655399
Name:A. A. PLUS CHIROPRACTIC FAMILY CARE, INC.
Entity type:Organization
Organization Name:A. A. PLUS CHIROPRACTIC FAMILY CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEITH
Authorized Official - Middle Name:EDWARD
Authorized Official - Last Name:KOHLHORST
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-991-2225
Mailing Address - Street 1:2553 W BREESE RD
Mailing Address - Street 2:
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45806-1607
Mailing Address - Country:US
Mailing Address - Phone:419-991-2225
Mailing Address - Fax:419-991-2225
Practice Address - Street 1:2553 W BREESE RD
Practice Address - Street 2:
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45806-1607
Practice Address - Country:US
Practice Address - Phone:419-991-2225
Practice Address - Fax:419-991-2225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2448111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2011423Medicaid
OH2011423Medicaid