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ACTIVE LIFE CHIROPRACTIC LLC NPI 1053567933


NPI Information

NPI: 1053567933
Provider Name: ACTIVE LIFE CHIROPRACTIC LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
2518 E KENOSHA ST
BROKEN ARROW, OK
ZIP 74014
Phone: (918) 286-2729
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ACTIVE LIFE CHIROPRACTIC LLC is a chiropractor in Broken Arrow, OK. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. ACTIVE LIFE CHIROPRACTIC LLC NPI is 1053567933. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2518 E KENOSHA ST
BROKEN ARROW, OK
ZIP 74014-712
Phone: (918) 286-2729

The provider's authorized official is Sally Messinger .
The authorized official title is Admin and has the following contact phone number (918) 286-2729.

The enumeration date for this NPI number is 8/12/2008 and was last updated on 10/8/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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