Provider Demographics
NPI:1861684623
Name:TURNBULL ENTERPRISES INC.
Entity Type:Organization
Organization Name:TURNBULL ENTERPRISES INC.
Other - Org Name:ACTIVA CHIROPRACTIC & ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:TURNBULL
Authorized Official - Suffix:JR
Authorized Official - Credentials:DC
Authorized Official - Phone:720-941-5000
Mailing Address - Street 1:600 S CHERRY ST STE 1105
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:CO
Mailing Address - Zip Code:80246-1716
Mailing Address - Country:US
Mailing Address - Phone:720-941-5000
Mailing Address - Fax:303-394-2587
Practice Address - Street 1:600 S CHERRY ST STE 1105
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:CO
Practice Address - Zip Code:80246-1716
Practice Address - Country:US
Practice Address - Phone:720-941-5000
Practice Address - Fax:303-394-2587
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-15
Last Update Date:2008-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4736111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO0007589115OtherAETNA
COC092945OtherLANDMARK
COU76257Medicare UPIN
COC48283Medicare PIN