Active Spine And Sports Clinic in San Jose - Chiropractor
Active Spine And Sports Clinic - NPI 1619183084
Active Spine And Sports Clinic is a Chiropractor in San Jose, California. Active Spine And Sports Clinic practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Active Spine And Sports Clinic is 1619183084. The last update date is 2008-06-16.
Active Spine And Sports Clinic's current location address is 3151 Olin Ave, San Jose, California. You can contact this provider via phone number 4082478812 and fax number 4082478814. The mailing address for Active Spine And Sports Clinic is 3151 Olin Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Spine And Sports Clinic |
|---|---|
| Address | 3151 Olin Ave, San Jose, California |
| Phone Number | 4082478812 |
| Fax Number | 4082478814 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hunt Colle |
| Credentials | D.C. |
| Telephone Number | 4082478812 |
NPI Number Detail
| NPI Number | 1619183084 |
|---|---|
| Provider Enumeration Date | 2007-05-15 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 3151 Olin Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951171635 |
| Phone Number | 4082478812 |
| Fax Number | 4082478814 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC 29365 |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique 10-digit identifier code assigned to Active Spine And Sports Clinic by the Centers for Medicare & Medicaid Services?
The Active Spine And Sports Clinic has been issued the NPI (National Provider Identifier) 1619183084 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Active Spine And Sports Clinic's facilities are situated?
The facilities of Active Spine And Sports Clinic are physically located at the following address: 3151 Olin Ave, San Jose, CA, 951171635.
What is Active Spine And Sports Clinic's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Active Spine And Sports Clinic's specialized field of practice is Chiropractor, and the corresponding taxonomy code that categorizes this area of specialization is 111N00000X.
When did Active Spine And Sports Clinic receive its 1619183084 assignment?
The Active Spine And Sports Clinic was assigned its 1619183084 on 2007-05-15, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Active Spine And Sports Clinic most recently updated or revised?
The information pertaining to Active Spine And Sports Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2008-06-16.
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