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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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