National Provider Identifier Database

BACK TO HEALTH SOUTHPOINT
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

BACK TO HEALTH SOUTHPOINT
6224 FAYETTEVILLE RD
106B
DURHAM, NC27713-6288
Phone: 919-544-8881
Fax: 919-544-8889
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BACK TO HEALTH SOUTHPOINT

NPI Number 1164801155
Legal business name
LBN
BACK TO HEALTH SOUTHPOINT
Authorized official KENENTH BROWN - (CEO)
Entity Organization
Organization subpart No
Enumeration date 05/22/2015
Last updated 05/22/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers
  • NC License #: 2687
  • NC Other: 085FR BCBS
  • NC Other: 1252060 COVENTRY
  • NC Other: 621714 UNITED HEALTH CARE

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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