# ACTIVELIFE FAMILY CHIROPRACTIC CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760520092
- **Authorized official:** DR. JOHN DAVID JONES D.C. (PRESIDENT)
- **Authorized official phone:** (614) 866-5181

## Contact information

- **Practice address:** 13299 SUMMERFIELD WAY, PICKERINGTON, OH 43147-9251
- **Practice address phone:** (614) 866-5181
- **Mailing address:** 13299 SUMMERFIELD WAY, PICKERINGTON, OH 43147-9251
- **Mailing address phone:** (614) 866-5181

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 2117 | OH | Yes |
| 111N00000X | Chiropractor | 2191 | OH | — |

## Other

- **Enumeration date:** 02/01/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000120889 | ANTHEM | OH |
| 01 | — | 000000120890 | ANTHEM - LISA | — |
| 05 | — | 0229050 | — | OH |
| 01 | — | 074684048004 | MMO | — |
| 01 | — | 4400103 | UHC GROUP | — |
| 01 | — | 509743928004 | MMO LISA | — |