National Provider Identifier Database

ACTIVE HEALTH CHIROPRACTIC CENTER
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

ACTIVE HEALTH CHIROPRACTIC CENTER
402 SUPERIOR AVE
TOMAH, WI54660-1638
Phone: 608-374-3000
Fax: 608-374-3303
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for ACTIVE HEALTH CHIROPRACTIC CENTER

NPI Number 1205113024
Legal business name
LBN
ACTIVE HEALTH CHIROPRACTIC CENTER
Authorized official BRIDGET OWENS - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 11/08/2011
Last updated 12/02/2011 - About 15 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 2463-12
  • WI Other: 000075689 MEDICARE PTAN

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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