ACTIVE CHIROPRACTIC LLC
NPI 1780851279
Chiropractor in Bloomer, WI

Active since May 13, 2008
1706 YORK ST, SUITE 5, BLOOMER, WI 54724(715) 568-9923(715) 568-9924 Get Directions Write a Review

NPPES record last updated: June 4, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Active Chiropractic Llc NPPES

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

ACTIVE CHIROPRACTIC LLC (NPI 1780851279) is a healthcare organization registered as a chiropractor in Bloomer, Wisconsin and active in the NPI registry since May 2008. The organization lists Jacquelyn Michele Russell, Chiropractic Assistant, as its authorized official.

NPPES Registry Identity

NPI1780851279
Entity TypeOrganization
Primary Taxonomy111N00000X
Legal Business NameACTIVE CHIROPRACTIC LLC
Location Address1706 YORK ST, SUITE 5Bloomer, WI 54724-1920
Mailing Address1706 York St, Suite 5Bloomer, WI 54724-1920 · (715) 568-9923 · Fax (715) 568-9924
Fax(715) 568-9924
Organization SubpartNo
Authorized OfficialJacquelyn Michele RussellChiropractic Assistant · (715) 568-9923
Enumeration DateMay 13, 2008
Last NPPES UpdateJune 4, 2008
NPI 1780851279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License Licensed in WI · 4151-012
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.
1706 YORK ST, Bloomer, WI 54724

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Prosthetic/Orthotic Supplier
1706 YORK ST, UNIT #3
BLOOMER, WI 54724
Chiropractor
1706 YORK ST, SUITE 5
BLOOMER, WI 54724

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Active Chiropractic LLC's NPI number?

The NPI number for Active Chiropractic LLC is 1780851279. It was assigned to this organization in the NPPES registry on May 13, 2008.

Where is Active Chiropractic LLC located?

Active Chiropractic LLC is located at 1706 York St Suite 5, Bloomer, WI 54724. The listed phone number is (715) 568-9923.

What is Active Chiropractic LLC's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

When was this NPI record last updated?

The NPPES record for Active Chiropractic LLC was last updated on June 4, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.