Active Chiropractic & Rehabilitation Sc

LBN: Active Chiropractic & Rehabilitation Sc
Active Chiropractic & Rehabilitation Sc is an health care organization with primary practice located at 502 Greene Ave , Green Bay WI 54301-2820. The organization recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as the primary health care specialty. Active Chiropractic & Rehabilitation Sc can be contacted via phone (920) 965-1155, or through Herber, Matthew Stephen via phone (920) 965-1155.

Contact Information

Primary practice address
502 Greene Ave Green Bay WI 54301-2820
Phone: (920) 965-1155
Fax: (920) 965-1156
Website:
Map and Directions
Authorized official contact:
Name: Herber, Matthew Stephen Doctor of Chiropractic (DC)
Phone: (920) 965-1155

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X

Profile Details

NPI number 1790820314
LBN Legal business name Active Chiropractic & Rehabilitation Sc
DBA Doing business as
Authorized official Herber, Matthew Stephen Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Dec 12th, 2022 - about 2 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 1790820314 NPPES
Wisconsin MEDICAID 38949900

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