Active Chiropractic Llc in Bloomer - Chiropractor
Active Chiropractic Llc - NPI 1780851279
Active Chiropractic Llc is a Chiropractor in Bloomer, Wisconsin. Active Chiropractic Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Active Chiropractic Llc is 1780851279. The last update date is 2008-06-04.
Active Chiropractic Llc's current location address is 1706 York St, Bloomer, Wisconsin. You can contact this provider via phone number 7155689923 and fax number 7155689924. The mailing address for Active Chiropractic Llc is 1706 York St, Bloomer, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Chiropractic Llc |
|---|---|
| Address | 1706 York St, Bloomer, Wisconsin |
| Phone Number | 7155689923 |
| Fax Number | 7155689924 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIROPRACT |
|---|---|
| Authorized Official Name | Russell Michele Jacquelyn |
| Credentials | DC |
| Telephone Number | 7155689923 |
NPI Number Detail
| NPI Number | 1780851279 |
|---|---|
| Provider Enumeration Date | 2008-05-13 |
| Last Updated Date | 2008-06-04 |
Provider Mailing Address Detail
| Address | 1706 York St |
|---|---|
| City | Bloomer |
| State | Wisconsin (WI) |
| Post Code | 547241920 |
| Phone Number | 7155689923 |
| Fax Number | 7155689924 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 4151-012 |
|
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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Post Comment/ Review Below
What is the unique provider identifier assigned to Active Chiropractic Llc?
The Active Chiropractic Llc has been issued the NPI (National Provider Identifier) 1780851279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Active Chiropractic Llc?
The Active Chiropractic Llc is situated at 1706 York St, in the city of Bloomer, state of WI, with the zip code 547241920.
What is Active Chiropractic Llc's area of expertise and its corresponding taxonomy classification?
The Active Chiropractic Llc's field of specialization is Chiropractor, and it falls under the taxonomy code 111N00000X, which categorizes healthcare providers based on their areas of practice.
When did Active Chiropractic Llc receive its 1780851279 assignment?
The Active Chiropractic Llc was assigned its 1780851279 on 2008-05-13, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Active Chiropractic Llc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Active Chiropractic Llc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-04.
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