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Contact Information

BACK TO HEALTH CHIROPRACTIC
1957 COUNTY ROAD XX
MOSINEE, WI54455-9026
 Phone: 715-355-9009
 Fax: 715-355-9109
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK TO HEALTH CHIROPRACTIC

NPI Number 1164614871
LBN Legal business name BACK TO HEALTH CHIROPRACTIC
Authorized official CHRISTOPHER CLIFFORD - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/16/2007
Last updated 01/04/2008 - About 18 years ago
Identifiers
WI License # 3890-012
WI Medicaid 38942900
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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