Active Chiropractic P C

LBN: Active Chiropractic P C
Active Chiropractic P C is an health care organization with primary practice located at 1001 13Th Ave N , Clinton IA 52732-3403. The organization recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as the primary health care specialty. Active Chiropractic P C can be contacted via phone (563) 242-9343, or through Dornbush, Brian R via phone (563) 242-9343.

Contact Information

Primary practice address
1001 13Th Ave N Clinton IA 52732-3403
Fax:
Website:
Authorized official contact:
Name: Dornbush, Brian R Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Sports Physician 111NS0005X A06166 Iowa

Profile Details

NPI number 1194149203
LBN Legal business name Active Chiropractic P C
DBA Doing business as
Authorized official Dornbush, Brian R Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 10th, 2014
Last updated Feb 10th, 2014 - about 10 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 1194149203 NPPES
Iowa MEDICAID 2180513

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