Organization
ACTIVE CHIROPRACTIC & REHABILITATION SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW STEPHEN HERBER D.C. (PRESIDENT)
(920) 965-1155
Entity
Organization
Contact information
Practice address
502 GREENE AVE, GREEN BAY, WI 54301-2820
(920) 965-1155
(920) 965-1156
Mailing address
502 GREENE AVE, GREEN BAY, WI 54301-2820
(920) 965-1155
(920) 965-1156
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38949900
—
WI
Enumeration date
02/21/2007
Last updated
12/12/2022
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