Organization
FAMILY HEALTH CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICK GEORGE KOINOGLOU D.C., FIAMA, DIPL AC (OWNER)
(330) 821-4455
Entity
Organization
Contact information
Practice address
641 E STATE ST, ALLIANCE, OH 44601-4913
(330) 821-4455
Mailing address
641 E STATE ST, ALLIANCE, OH 44601-4913
(330) 821-4455
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139080
BC/BS
OH
05
—
000000176741
—
OH
05
—
0886297
—
OH
05
—
2364409
—
OH
01
—
350050794
RAILROAD MEDICARE
OH
05
—
733297
—
OH
01
—
FA9275291
MEDICARE PTAN
OH
Enumeration date
01/25/2007
Last updated
01/26/2012
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