| Active Healthcare Of Nelsonville Llc | |
|
1259 E Canal St Nelsonville OH 45764-8000 | |
| (740) 753-1902 | |
| (740) 753-4233 |
| Full Name | Active Healthcare Of Nelsonville Llc |
|---|---|
| Speciality | Chiropractor |
| Location | 1259 E Canal St, Nelsonville, Ohio |
| Authorized Official Name and Position | Teresa Ann Hine (OFFICE MANAGER) |
| Authorized Official Contact | 7407531902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Active Healthcare Of Nelsonville Llc 1259 E Canal St Nelsonville OH 45764-8000 Ph: (740) 753-1902 | Active Healthcare Of Nelsonville Llc 1259 E Canal St Nelsonville OH 45764-8000 Ph: (740) 753-1902 |
| NPI Number | 1255682761 |
|---|---|
| Provider Enumeration Date | 09/24/2012 |
| Last Update Date | 01/22/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255682761 | NPI | - | NPPES |
| 2014886 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 111N00000X | Chiropractor | 2400 (Ohio) | Primary |
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The Doctors Office Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1950 Mount Saint Marys Dr, Nelsonville, OH 45764 Phone: 740-753-3345 Fax: 740-753-4890 | |
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