PRO-ACTIVE CHIROPRACTIC - NPI 1689989857 - Chiropractor in Boulder, CO

Q: What is the provider's specialty?

The provider's specialty is Chiropractor with taxonomy code 111N00000X.

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About Pro-active Chiropractic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRO-ACTIVE CHIROPRACTIC (NPI 1689989857) is a healthcare organization registered as a chiropractor in Boulder, Colorado and active in the NPI registry since August 2010. The organization lists Stephen P Melis, Owner, as its authorized official.

NPPES Registry Identity

NPI1689989857

Entity TypeOrganization

Primary Taxonomy111N00000X

Legal Business NamePRO-ACTIVE CHIROPRACTIC

Location Address5305 SPINE RD, SUITE CBoulder, CO 80301-3331

Mailing Address5305 Spine Rd, Suite CBoulder, CO 80301-3331 · (303) 530-4280 · Fax (303) 539-4281

Phone(303) 530-4280

Fax(303) 539-4281

Organization SubpartNo

Authorized OfficialStephen P MelisOwner · (303) 530-4280

Enumeration DateAugust 12, 2010

✔ NPI 1689989857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in CO · 5972

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

5305 SPINE RD, Boulder, CO 80301

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP