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Contact Information

ACTIVE HEALTH CHIROPRACTIC INC
1112 OAKRIDGE DR
SUITE 113
FORT COLLINS, CO80525-6255
 Phone: 970-226-6556
 Fax: 970-226-6776
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for ACTIVE HEALTH CHIROPRACTIC INC

NPI # 1629191911
LBN Legal business name ACTIVE HEALTH CHIROPRACTIC INC
Authorized official CHAD DECKLEVER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/09/2007
Last updated 11/26/2007 - About 19 years ago
Identifiers
CO License # 5229
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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