Active Lifestyle Chiropractic

LBN: Active Lifestyle Chiropractic
Active Lifestyle Chiropractic is an health care organization with primary practice located at 16515 S 40Th St Suite 129, Phoenix AZ 85048-0558. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Active Lifestyle Chiropractic can be contacted via phone (480) 704-1050, or through Winton, Jennifer Renee via phone (480) 704-1050.

Contact Information

Primary practice address
16515 S 40Th St Suite 129 Phoenix AZ 85048-0558
Phone: (480) 704-1050
Fax: (480) 704-0109
Website:
Map and Directions
Authorized official contact:
Name: Winton, Jennifer Renee Doctor of Chiropractic (DC)
Phone: (480) 704-1050

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 7750 Arizona

Profile Details

NPI number 1083905301
LBN Legal business name Active Lifestyle Chiropractic
DBA Doing business as
Authorized official Winton, Jennifer Renee Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2011
Last updated Apr 20th, 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 1083905301 NPPES
Other Z111783 PTAN

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