Active Care Chiropractic Inc
Organization Active NPI Chiropractor · Paducah, KY
NPI 1932227337 · NPPES record last updated May 3, 2023
Key facts
- NPI
- 1932227337
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 4822 (KY)
- Legal business name
- ACTIVE CARE CHIROPRACTIC INC
- Practice address
- 3240 Lone Oak Rd Ste C
Paducah, KY 42003-0370 - Phone
- (270) 554-7661
- Fax
- (270) 554-7683
- NPI assigned
- Mar 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Suzanne Quarles
- Title
- Office Manager
- Phone
- (270) 554-7661
Practitioners 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040219000014 | KY | Part B Supplier - Clinic/Group Practice | 9234024191 |
Receives reassigned benefits from 1 practitioner Practice locations: Paducah, KY |
National Provider Directory
Locations
3240 Lone Oak Rd
Paducah, KY 42003
Phone (270) 554-7661
3240 Lone Oak Rd
Ste C
Paducah, KY 42003
Phone (270) 554-7661
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 4822 | KY | Yes |
Addresses
Primary practice location
3240 Lone Oak Rd Ste C
Paducah, KY 42003-0370
Mailing address
3240 Lone Oak Rd Ste C
Paducah, KY 42003-0370
Phone (270) 554-7661
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 3, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.