Active Life Pllc is a
Chiropractor based in Williamsburg, West Virginia. Active Life Pllc is licensed to practice in * (Not Available) (license number ) and their current practice location is
700 Tyree Rd, Williamsburg, West Virginia. It can be reached at their office (for appointments etc.) via phone at
(304) 646-9991.
NPI number for Active Life Pllc is 1689232498 and their current mailing address is 350 Deer Point Rd, Frankford, West Virginia. Active Life Pllc
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1689232498.
Healthcare Provider's Profile
| Full Name | Active Life Pllc |
|---|
| Type | Facility |
|---|
| Speciality | Chiropractor |
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| Location | 700 Tyree Rd, Williamsburg, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1689232498
- Provider Enumeration Date: 06/05/2019
- Last Update Date: 08/10/2023
Medical Identifiers
Medical identifiers for Active Life Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1689232498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Active Life Pllc is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Active Life Pllc
350 Deer Point Rd,
Frankford, WV 24938-9537
Ph: (304) 646-9991 | Active Life Pllc
700 Tyree Rd,
Williamsburg, WV 24991-9741
Ph: (304) 646-9991 |
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