Active Chiropractic, Llc in Melbourne - Chiropractor
Active Chiropractic, Llc - NPI 1316961915
Active Chiropractic, Llc is a Chiropractor in Melbourne, Florida. Active Chiropractic, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Active Chiropractic, Llc is 1316961915. The last update date is 2020-08-22.
Active Chiropractic, Llc's current location address is 1251 Hickory St, Melbourne, Florida. You can contact this provider via phone number 3212553003 and fax number 3212553005. The mailing address for Active Chiropractic, Llc is 1251 Hickory St, Melbourne, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Chiropractic, Llc |
|---|---|
| Address | 1251 Hickory St, Melbourne, Florida |
| Phone Number | 3212553003 |
| Fax Number | 3212553005 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Wassmer B Todd |
| Credentials | DC |
| Telephone Number | 3212553003 |
NPI Number Detail
| NPI Number | 1316961915 |
|---|---|
| Provider Enumeration Date | 2006-07-27 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1251 Hickory St |
|---|---|
| City | Melbourne |
| State | Florida (FL) |
| Post Code | 329013221 |
| Phone Number | 3212553003 |
| Fax Number | 3212553005 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | CH9223 |
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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 Active Chiropractic, Llc's unique identification number?
The Active Chiropractic, Llc has been assigned the NPI (National Provider Identifier) Number 1316961915 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Active Chiropractic, Llc is physically located?
The Active Chiropractic, Llc is situated at the following address: 1251 Hickory St, Melbourne, FL 329013221.
What is Active Chiropractic, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Active Chiropractic, Llc is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Active Chiropractic, Llc receive its 1316961915 assignment from the Centers for Medicare & Medicaid Services?
The Active Chiropractic, Llc was assigned its 1316961915 by the Centers for Medicare & Medicaid Services on 2006-07-27.
As of what date was the information regarding Active Chiropractic, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Active Chiropractic, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.