Active Health Chiropractic
Organization Active NPI Chiropractor · Crookston, MN
NPI 1578867727 · NPPES record last updated Jan 3, 2011
Key facts
- NPI
- 1578867727
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 5247 (MN)
- Legal business name
- ACTIVE HEALTH CHIROPRACTIC
- Practice address
- 116 4TH Ave N
Crookston, MN 56716-1312 - Phone
- (218) 470-2020
- NPI assigned
- Jan 3, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Nicole Qual, D.C.
- Title
- Owner
- Phone
- (218) 470-2020
Practitioners 1
-
Nicole Qual, D.C.
National Provider Directory
Locations
116 4th Ave N
Crookston, MN 56716
Phone (218) 470-2020
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 5247 | MN | Yes |
Addresses
Primary practice location
116 4TH Ave N
Crookston, MN 56716-1312
Mailing address
116 4TH Ave N
Crookston, MN 56716-1312
Phone (218) 470-2020
Other names
- Active Health Family Chiropractic
Other providers in Crookston, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2011. 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.