Active Rehab Chiropractic Llc

LBN: Active Rehab Chiropractic Llc
Active Rehab Chiropractic Llc is an health care organization with primary practice located at 4225 S State Route 159 Ste 2 , Glen Carbon IL 62034-3231. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Active Rehab Chiropractic Llc can be contacted via phone (618) 641-3111, or through Gevers, Marshall via phone (618) 520-8270.

Contact Information

Primary practice address
4225 S State Route 159 Ste 2 Glen Carbon IL 62034-3231
Phone: (618) 641-3111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gevers, Marshall Doctor of Chiropractic (DC)
Phone: (618) 520-8270

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X

Profile Details

NPI number 1073291811
LBN Legal business name Active Rehab Chiropractic Llc
DBA Doing business as
Authorized official Gevers, Marshall Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 11th, 2023
Last updated Jul 11th, 2023 - about 3 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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