Active Health Chiropractic Center

LBN: Active Health Chiropractic Center
Active Health Chiropractic Center is an health care organization with primary practice located at 402 Superior Ave , Tomah WI 54660-1638. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Active Health Chiropractic Center can be contacted via phone (608) 374-3000, or through Owens, Bridget A via phone (608) 374-3000.

Contact Information

Primary practice address
402 Superior Ave Tomah WI 54660-1638
Phone: (608) 374-3000
Fax: (608) 374-3303
Website:
Map and Directions
Authorized official contact:
Name: Owens, Bridget A Doctor of Chiropractic (DC)
Phone: (608) 374-3000

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2463-12 Wisconsin

Profile Details

NPI number 1205113024
LBN Legal business name Active Health Chiropractic Center
DBA Doing business as
Authorized official Owens, Bridget A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2011
Last updated Dec 2nd, 2011 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1205113024 NPPES
Wisconsin Other 000075689 MEDICARE PTAN

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