Active Care Edmond PLLC
Organization Active NPI Chiropractor · Edmond, OK
NPI 1679080394 · NPPES record last updated Jan 3, 2018
Key facts
- NPI
- 1679080394
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- ACTIVE CARE EDMOND PLLC
- Practice address
- 3201 E Memorial Rd Ste B
Edmond, OK 73013-7093 - Phone
- (405) 478-1507
- Fax
- (405) 478-1592
- NPI assigned
- Jan 3, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Jason L Block, DC
- Title
- Chiropractor
- Phone
- (405) 315-4119
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
3201 E Memorial Rd Ste B
Edmond, OK 73013-7093
Mailing address
3201 E Memorial Rd Ste B
Edmond, OK 73013-7093
Phone (405) 478-1507
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699833244 | Other | OK | NPI |
Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 3, 2018. 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.