Chiro-Active Inc.

LBN: Chiro-Active Inc.
Chiro-Active Inc. is an health care organization with primary practice located at 3935 N 75 W , Hyde Park UT 84318-4111. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Chiro-Active Inc. can be contacted via phone (435) 563-4772, or through Traveller, Justin Bruce via phone (435) 563-4772.

Contact Information

Primary practice address
3935 N 75 W Hyde Park UT 84318-4111
Phone: (435) 563-4772
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Traveller, Justin Bruce Doctor of Chiropractic (DC)
Phone: (435) 563-4772

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 6859851-1202 Utah

Profile Details

NPI number 1639347677
LBN Legal business name Chiro-Active Inc.
DBA Doing business as
Authorized official Traveller, Justin Bruce Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2008
Last updated Mar 3rd, 2008 - about 16 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 1639347677 NPPES
Utah Other 6859851-1202 LICENSE

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