Organization
ACTIVELIFE FAMILY CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN DAVID JONES D.C. (PRESIDENT)
(614) 866-5181
Entity
Organization
Contact information
Practice address
13299 SUMMERFIELD WAY, PICKERINGTON, OH 43147-9251
(614) 866-5181
Mailing address
13299 SUMMERFIELD WAY, PICKERINGTON, OH 43147-9251
(614) 866-5181
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2117
OH
111N00000X
Chiropractor
2191
OH
Other
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
—
Enumeration date
02/01/2007
Last updated
08/22/2020
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