| Active Health Chiropractic Llc | |
|
371 N 9th Ave Scranton PA 18504-2005 | |
| (570) 558-2225 | |
| (570) 558-6325 |
| Full Name | Active Health Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 371 N 9th Ave, Scranton, Pennsylvania |
| Authorized Official Name and Position | Christine M. Kmiec (DR.) |
| Authorized Official Contact | 5705582225 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Health Chiropractic Llc 371 N 9th Ave Scranton PA 18504-2005 Ph: (570) 558-2225 | Active Health Chiropractic Llc 371 N 9th Ave Scranton PA 18504-2005 Ph: (570) 558-2225 |
| NPI Number | 1538452859 |
|---|---|
| Provider Enumeration Date | 05/19/2011 |
| Last Update Date | 06/30/2011 |
| Medicare PECOS PAC ID | 4486832961 |
|---|---|
| Medicare Enrollment ID | O20110705000299 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538452859 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | DC008926 (Pennsylvania) | Primary |
| Provider Name | Christine M Kmiec |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265404347 PECOS PAC ID: 7618928151 Enrollment ID: I20050204000159 |
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