Provider Demographics
NPI:1891859054
Name:ACTIVATE YOUR HEALTH CHIROPRACTIC CENTER P.C.
Entity Type:Organization
Organization Name:ACTIVATE YOUR HEALTH CHIROPRACTIC CENTER P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SIVI
Authorized Official - Middle Name:N
Authorized Official - Last Name:HELSEL
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-676-9100
Mailing Address - Street 1:3915 BECK RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:SAINT JOSEPH
Mailing Address - State:MO
Mailing Address - Zip Code:64506-4953
Mailing Address - Country:US
Mailing Address - Phone:816-676-9100
Mailing Address - Fax:816-390-9777
Practice Address - Street 1:3915 BECK RD
Practice Address - Street 2:SUITE A
Practice Address - City:SAINT JOSEPH
Practice Address - State:MO
Practice Address - Zip Code:64506-4953
Practice Address - Country:US
Practice Address - Phone:816-676-9100
Practice Address - Fax:816-390-9777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO006642111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO30957025OtherBCBSKC
MOQ880000Medicare ID - Type Unspecified