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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