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Contact Information

BACKBONE WELLNESS INSTITUTE LLC
9879 MONTGOMERY RD
CINCINNATI, OH45242-6424
 Phone: 513-891-2111
 Fax: 513-891-2113
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neuromuscular Medicine

2081N0008X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for BACKBONE WELLNESS INSTITUTE LLC

NPI # 1104176635
LBN Legal business name BACKBONE WELLNESS INSTITUTE LLC
Authorized official CLINTON GARDA - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/12/2012
Last updated 12/08/2017 - About 8 years ago
Identifiers
OH License # 4284
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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