NPI 1740387927 · live from the CMS NPI Registry
Active Health & Wellness Center INC
Chiropractor in Moline, IL. National Provider Identifier 1740387927, active.
NPI record
| NPI | 1740387927 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 5203 37th Avenue Ct, Moline, IL 61265 |
| Practice phone | 309-736-4220 |
| Enumerated | September 20, 2006 |
| Last updated | September 30, 2011 |
| Authorized official | Garvin Smith, President |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | 38007310 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.