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Contact Information

BACK 2 BACK CHIROPRACTIC LLC
RR 1 BOX 458
SHAMOKIN, PA17872-9721
 Phone: 570-797-1000
 Fax: 570-797-4977
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK 2 BACK CHIROPRACTIC LLC · (Female)

NPI # 1902805088
Status Active
Credentials
Entity Individual
Enumeration date 07/20/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers
  • PA License # DC 008791
  • PA Medicaid 101192963-001
  • PA Other RE1596111 BLUE CROSS BLUE SHIELD
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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