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Contact Information

ACTIVE WELLNESS CHIROPRACTIC PC
1900 MONTICELLO AVE
NORFOLK, VA23517-2339
 Phone: 757-627-2222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE WELLNESS CHIROPRACTIC PC

NPI Number 1326464470
LBN Legal business name ACTIVE WELLNESS CHIROPRACTIC PC
Authorized official TRAVIS DAVIS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/13/2014
Last updated 06/11/2014 - About 12 years ago
Identifiers
VA License # 0104002072
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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