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Contact Information

BACK & NECK PAIN CLINIC
LBN BIBCO INC
601 E CALL ST
STARKE, FL32091
 Phone: 904-964-8018
 Fax: 904-964-9131
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK & NECK PAIN CLINIC

NPI Number 1134209919
LBN Legal business name BIBCO INC
DBA Doing business as BACK & NECK PAIN CLINIC
Authorized official VIRGIL BERRY - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/16/2006
Last updated 06/28/2011 - About 8 years ago
Identifiers
FL License # CH5217
FL Medicaid 050750400
FL Other 70979 BCBS
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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