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Organization
ACTIVE HEALTH CHIROPRACTIC CLINIC, P.C.
Active
Organization
ACTIVE HEALTH CHIROPRACTIC CLINIC, P.C.
Active
Other names
Active Health Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA LYNN NELSON D.C. (PRESIDENT)
(319) 627-6461
Entity
Organization
Contact information
Practice address
1103 N ELM ST, STE 102, WEST LIBERTY, IA 52776-1006
(319) 627-6461
Mailing address
1103 N ELM ST, STE 102, WEST LIBERTY, IA 52776-1006
(319) 627-6461
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
06934
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29848
WELLMARK BCBS
IA
Enumeration date
05/23/2007
Last updated
03/21/2013
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