Active Health Chiropractic PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

5247 Issued in MN

Legal business name

ACTIVE HEALTH CHIROPRACTIC PLLC

Doing business as

Active Health Family Chiropractic

Practice address

116 4TH Ave N
Crookston, MN 56716-1312

Phone

(218) 470-2020

Fax

(218) 470-2020

NPI assigned

Aug 26, 2008

Last updated

Nov 17, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Nicole Qual, D.C.NPI 1629225131

Title

Owner/Chiropractor

Phone

(701) 213-2050

Specialties & licenses 1

Addresses

Other names 1

• Active Health Family Chiropractic Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nicole Qual, D.C.

  • Chiropractor
  • Crookston, MN
  • NPI 1629225131
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321488000000",
    "number": "1174770689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 4TH AVE N",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161312",
            "telephone_number": "218-470-2020",
            "fax_number": "218-470-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 4TH AVE N",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161312",
            "telephone_number": "218-470-2020",
            "fax_number": "218-470-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH CHIROPRACTIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-26",
        "last_updated": "2011-11-17",
        "status": "A",
        "authorized_official_last_name": "QUAL",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "701-213-2050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "MN",
            "license": "5247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Active Health Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maen Abou-Ghaida, MD
• Active Health Chiropractic (Active Health Family Chiropractic)
• Agassiz Optometry Associates PC (Crookston Eye Clinic)
• Alluma, Inc.
• Altru Health System (Altru Health System Renal Dialysis Crookston)
• Altru Health System (Altru Clinic Crookston)
• Altru Health System Ambulatory Surgery Centers LLC (Altru Surgery Center Crookston)

• Chiropractor in Crookston, MN
• Providers in Crookston, MN by specialty
• Chiropractor in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.