Active Chiropractic LLC

Chiropractor · Bloomer, WI

Organization Active NPI

NPI number 1780851279

Practice location

1706 York St
Suite 5
Bloomer, WI 54724-1920
Phone
(715) 568-9923
Fax
(715) 568-9924

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NPI record

NPI
1780851279
Entity type
Organization (Type 2)
Enumeration date
May 13, 2008
Last updated
June 4, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X 4151-012 WI

Authorized official

Name
Jacquelyn Michele Russell, DC
Title
Chiropractic Assistant
Phone
(715) 568-9923

About Active Chiropractic LLC

Active Chiropractic LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 1706 York St, Suite 5, Bloomer, WI 54724-1920. The NPI number 1780851279 was assigned on May 13, 2008 and the record was last updated on June 4, 2008.

Active Chiropractic LLC lists a license in the registry: #4151-012 (WI) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Jacquelyn Michele Russell, DC, Chiropractic Assistant.

Frequently asked questions

What is the NPI number of Active Chiropractic LLC?

The NPI number is 1780851279.

What is the phone number of Active Chiropractic LLC?

The phone number listed for the practice location is (715) 568-9923.

Where is Active Chiropractic LLC located?

1706 York St, Suite 5, Bloomer, WI 54724-1920.

What is the taxonomy code for Active Chiropractic LLC?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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