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Organization
ACTIVE CHIROPRATIC CARE
Active
Organization
ACTIVE CHIROPRATIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R ELCHERT CHIROPRACTOR (OWNER)
(419) 841-9530
Entity
Organization
Contact information
Practice address
3020 N MCCORD RD, SUITE 104, TOLEDO, OH 43615-1702
(419) 841-9530
(419) 841-9537
Mailing address
3020 N MCCORD RD, SUITE 104, TOLEDO, OH 43615-1702
(419) 841-9530
(419) 841-9537
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 3007
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000222583
ANTHEM
OH
05
—
2195931
—
OH
Enumeration date
11/21/2006
Last updated
10/30/2007
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