Organization
ACTIVE HEALTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN C ANDERSON D.C. (DOCTOR/MEMBER)
(262) 646-2640
Entity
Organization
Contact information
Practice address
19 CROSSROADS CT, DELAFIELD, WI 53018-2066
(262) 646-2640
(262) 646-2650
Mailing address
19 CROSSROADS CT, DELAFIELD, WI 53018-2066
(262) 646-2640
(262) 646-2650
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
5057-12
WI
Other
Enumeration date
01/06/2015
Last updated
01/06/2015
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