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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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Chiropractor |
111N00000X | 35 | Chiropractic | |
Otology & Neurotology |
207YX0901X | 04 | Physician/Otolaryngology | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice |
| NPI Number | 1386709178 |
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| LBN Legal business name | BACK TO HEALTH MEDICINE AND DIAGNOSTICS | ||||||||||||||||||||
| Authorized official | JAY DECESARE - (MANAGER) | ||||||||||||||||||||
| Entity | Organization | ||||||||||||||||||||
| Organization subpart 1 | Yes | ||||||||||||||||||||
| Enumeration date | 12/22/2006 | ||||||||||||||||||||
| Last updated | 09/10/2008 - About 18 years ago | ||||||||||||||||||||
| Identifiers |
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