Active Health Chiropractic SP PLLC
Organization Active NPI Chiropractor · Spencer, IA
NPI 1376800516 · NPPES record last updated Jul 27, 2012
Key facts
- NPI
- 1376800516
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 06865 (IA)
- Legal business name
- ACTIVE HEALTH CHIROPRACTIC SP PLLC
- Practice address
- 1019 S Grand Ave
Suite 2
Spencer, IA 51301-5722 - Phone
- (515) 227-7491
- Fax
- (888) 594-7231
- NPI assigned
- Apr 12, 2012
- Organization subpart
- No
Authorized official
- Name
- Dr. Joshua J Mason, DC
- Title
- DC/Owner
- Phone
- (515) 227-7491
Practitioners 2
-
Joshua Joe Mason, DC
National Provider Directory
Locations
1019 S Grand Ave
Ste 2
Spencer, IA 51301
Phone (515) 227-7491
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 06865 | IA | Yes |
Addresses
Primary practice location
1019 S Grand Ave
Suite 2
Spencer, IA 51301-5722
Mailing address
1019 S Grand Ave
Suite 2
Spencer, IA 51301-5722
Phone (515) 227-7491
Other providers in Spencer, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.