Provider Demographics
NPI:1891532909
Name:AO CHIRO INC.
Entity type:Organization
Organization Name:AO CHIRO INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:KYLE
Authorized Official - Middle Name:J
Authorized Official - Last Name:DEPOLLAR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:301-789-8768
Mailing Address - Street 1:254 CHAPMAN RD STE 208
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-5422
Mailing Address - Country:US
Mailing Address - Phone:301-789-8768
Mailing Address - Fax:
Practice Address - Street 1:98 CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:OCEAN VIEW
Practice Address - State:DE
Practice Address - Zip Code:19970-9715
Practice Address - Country:US
Practice Address - Phone:302-319-5111
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-15
Last Update Date:2024-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service