Provider Demographics
NPI:1730428954
Name:DAVID A. CORD, D.C., LLC
Entity type:Organization
Organization Name:DAVID A. CORD, D.C., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:A
Authorized Official - Last Name:CORD
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:513-863-6463
Mailing Address - Street 1:3570 PLEASANT AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45015-1747
Mailing Address - Country:US
Mailing Address - Phone:513-863-6463
Mailing Address - Fax:513-863-2440
Practice Address - Street 1:3570 PLEASANT AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45015-1747
Practice Address - Country:US
Practice Address - Phone:513-863-6463
Practice Address - Fax:513-863-2440
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-07
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty