Pro Active Chiropractic Center Pc

LBN: Pro Active Chiropractic Center Pc
Pro Active Chiropractic Center Pc is an health care organization with primary practice located at 1 E Broadway Ste C1 , Columbia MO 65203-4205. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Pro Active Chiropractic Center Pc can be contacted via phone (573) 607-2727, or through Stiffey, John Scott via phone (573) 769-2400.

Contact Information

Primary practice address
1 E Broadway Ste C1 Columbia MO 65203-4205
Phone: (573) 607-2727
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Stiffey, John Scott Doctor of Chiropractic (DC)
Phone: (573) 769-2400

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2002004526 Missouri

Profile Details

NPI number 1750560751
LBN Legal business name Pro Active Chiropractic Center Pc
DBA Doing business as
Authorized official Stiffey, John Scott Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 26th, 2007
Last updated Jun 25th, 2021 - about 5 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 1750560751 NPPES
Missouri Other 000014883 MEDICARE GROUP

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