Active Health Eau Claire

LBN: Active Health Eau Claire
Active Health Eau Claire is an health care organization with primary practice located at 3521 London Rd , Eau Claire WI 54701-7861. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Active Health Eau Claire can be contacted via phone (715) 834-6333, or through Soborowicz, Judy via phone (715) 834-6333.

Contact Information

Primary practice address
3521 London Rd Eau Claire WI 54701-7861
Phone: (715) 834-6333
Fax: (715) 831-6374
Website:
Map and Directions
Authorized official contact:
Name: Soborowicz, Judy Doctor of Chiropractic (DC)
Phone: (715) 834-6333

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3103 Wisconsin
Chiropractic Providers / Chiropractor 111N00000X 3207 Wisconsin

Profile Details

NPI number 1063832798
LBN Legal business name Active Health Eau Claire
DBA Doing business as
Authorized official Soborowicz, Judy Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 21st, 2014
Last updated Apr 21st, 2014 - about 12 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 1063832798 NPPES
Wisconsin Other 000070863 PTAN
Wisconsin MEDICAID 1104883404 PTAN
Wisconsin MEDICAID 1255442729 PTAN

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