Active Chiropractic Llc

LBN: Active Chiropractic Llc
Active Chiropractic Llc is an health care organization with primary practice located at 1706 York St Suite 5, Bloomer WI 54724-1920. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Active Chiropractic Llc can be contacted via phone (715) 568-9923, or through Russell, Jacquelyn Michele via phone (715) 568-9923.

Contact Information

Primary practice address
1706 York St Suite 5 Bloomer WI 54724-1920
Phone: (715) 568-9923
Fax: (715) 568-9924
Website:
Map and Directions
Authorized official contact:
Name: Russell, Jacquelyn Michele Doctor of Chiropractic (DC)
Phone: (715) 568-9923

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 4151-012 Wisconsin

Profile Details

NPI number 1780851279
LBN Legal business name Active Chiropractic Llc
DBA Doing business as
Authorized official Russell, Jacquelyn Michele Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date May 13th, 2008
Last updated Jun 4th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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