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ACTIVE LIVING CHIROPRACTIC INC NPI 1912220690


NPI Information

NPI: 1912220690
Provider Name: ACTIVE LIVING CHIROPRACTIC INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
704 E. ARLINGTON BLVD.
GREENVILLE, NC
ZIP 27858
Phone: (252) 756-6111
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ACTIVE LIVING CHIROPRACTIC INC is a chiropractor in Greenville, NC. 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 LIVING CHIROPRACTIC INC NPI is 1912220690. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

704 E. ARLINGTON BLVD.
GREENVILLE, NC
ZIP 27858
Phone: (252) 756-6111
Fax: (252) 756-6904

The provider's authorized official is Tabatha Bullock Wirth .
The authorized official title is Billing/wife and has the following contact phone number (252) 756-6111.

The enumeration date for this NPI number is 3/9/2010 and was last updated on 4/24/2023.


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
1111N00000XChiropractor4057NORTH CAROLINAYes

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: 4/28/2024

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