Provider Demographics
NPI:1396736856
Name:ACTIVE SOLUTIONS CHIROPRACTIC, P.C.
Entity type:Organization
Organization Name:ACTIVE SOLUTIONS CHIROPRACTIC, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:STUMP
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:402-331-3480
Mailing Address - Street 1:4751 S 96TH ST
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68127-2019
Mailing Address - Country:US
Mailing Address - Phone:402-331-3480
Mailing Address - Fax:402-331-3474
Practice Address - Street 1:4751 S 96TH ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68127-2019
Practice Address - Country:US
Practice Address - Phone:402-331-3480
Practice Address - Fax:402-331-3474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-11-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1356111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE246539OtherMIDLANDS CHOICE
NE09634OtherBCBS OF NEBRASKA
NE09634OtherBCBS OF NEBRASKA
NE=========OtherMUTUAL OF OMAHA
NE=========OtherMUTUAL OF OMAHA