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NPI Code Detail

MEDICARE: ACTIVE CARE CHIROPRACTIC INC

MEDICARE: ACTIVE CARE CHIROPRACTIC INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor

General Provider Information

NPI Number : 1629180302
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACTIVE CARE CHIROPRACTIC INC
Provider Business Mailing Address
First Line : 1001 LAURENCE AVE
Second Line : SUITE F
City : JACKSON
State : MI
Zip : 49202-2980
Country : US
Telephone Number : 517-787-2288
Fax Number : 517-787-2288
Provider Business Practice Location Address
First Line : 1001 LAURENCE AVE
Second Line : SUITE F
City : JACKSON
State : MI
Zip : 49202-2980
Country : US
Telephone Number : 517-787-2288
Fax Number : 517-787-2288
Authorized Official
Title or Position : OWNER
Name : MRS. CASEY JO ALLMANDINGER
Credential : DC
Telephone Number : 517-787-2288
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/07/2007

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Directions to “ACTIVE CARE CHIROPRACTIC INC ” Practice Location

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