Organization · NPI-2
Active Care Chiropractic, INC
Chiropractor · Saint Louis, MO
NPI number1972728467
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1972728467
- Entity type
- Organization (NPI-2)
- Legal business name
- Active Care Chiropractic, INC
- Organization subpart
- No
- Enumeration date
- Apr 17, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | – | – | Yes |
Practice location
2821 N Ballas RdSuite C 55
Saint Louis, MO 63131-2321
Phone 314-989-1805 · Fax 314-989-1836
Mailing address
2821 N Ballas RdSuite C 55
Saint Louis, MO 63131-2321
Phone 314-989-1805 · Fax 314-989-1836
Authorized official
Pilar Minett Williamsen
President
3149891805
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