Organization
ACTIVE LIFE CHIROPRACTIC CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NICHOLAS JAMES SMITH D.C. (CLININC DIRECTOR)
(406) 443-3965
Entity
Organization
Contact information
Practice address
103 E 6TH AVE, HELENA, MT 59601-5034
(406) 443-3965
(406) 443-3964
Mailing address
103 E 6TH AVE, HELENA, MT 59601-5034
(406) 443-3965
(406) 443-3964
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1136
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
41573
BLUE CROSS/BLUE SHIELD
MT
Enumeration date
05/20/2008
Last updated
01/05/2009
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