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Contact Information

BACK TO HEALTH PLUS, PLLC
3757 MEADOWBROOKE CIR
DEFOREST, WI53532-2872
 Phone: 608-630-3564
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK TO HEALTH PLUS, PLLC

NPI # 1063406379
LBN Legal business name BACK TO HEALTH PLUS, PLLC
Authorized official DAWN CADWALLADER - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/01/2005
Last updated 07/07/2008 - About 18 years ago
Identifiers
TN Other 3150785 BLUE CROSS BLUE SHEILD
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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