National Provider Identifier Database

BACK TO BASICS SC
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 BASICS S.C.
1792 E MASON ST
GREEN BAY, WI54302-3251
Phone: 920-465-1431
Fax: 920-468-0405
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BACK TO BASICS S.C.

NPI Number 1326123084
Legal business name
LBN
BACK TO BASICS S.C.
Authorized official JOSEPH MILLAN - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 10/25/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

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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