Active Lifestyle Chiropractic,Sc

LBN: Active Lifestyle Chiropractic,Sc
Active Lifestyle Chiropractic,Sc is an health care organization with primary practice located at 140 N. Townline Rd. , Wautoma WI 54982-0246. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Active Lifestyle Chiropractic,Sc can be contacted via phone (920) 787-0122, or through Gruszka, David Michael via phone (920) 787-0122.

Contact Information

Primary practice address
140 N. Townline Rd. Wautoma WI 54982-0246
Fax: (920) 787-0091
Website:
Authorized official contact:
Name: Gruszka, David Michael Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3391 Wisconsin

Profile Details

NPI number 1194801191
LBN Legal business name Active Lifestyle Chiropractic,Sc
DBA Doing business as
Authorized official Gruszka, David Michael Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 31st, 2006
Last updated Aug 22nd, 2020 - about 6 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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