Active Health Chiropractic Llc | |
1802 W Locust St, Davenport, IA 52804-2326 | |
(563) 359-4779 | |
Not Available |
Full Name | Active Health Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1802 W Locust St, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386321461 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Audi Oliva |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1255017711 PECOS PAC ID: 4981064813 Enrollment ID: I20230724002234 |
Mailing Address | Practice Location Address |
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Active Health Chiropractic Llc 1802 W Locust St, Davenport, IA 52804-2326 Ph: (563) 359-4779 | Active Health Chiropractic Llc 1802 W Locust St, Davenport, IA 52804-2326 Ph: (563) 359-4779 |
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