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Contact Information

BACK TO HEALTH CMC INC
6224 FAYETTEVILLE RD
SUITE 106B
DURHAM, NC27713-6288
 Phone: 919-544-8881
 Fax: 919-544-8889
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK TO HEALTH CMC INC

NPI # 1508932948
LBN Legal business name BACK TO HEALTH CMC INC
Authorized official KENNETH BROWN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 11/28/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
NC License # 2687
NC Medicaid 890839W
NC Other 621714 ACN
NC Other 085FR BCBS
NC Other 621714 CIGNA
NC Other 085FR CNC
NC Other 621714 UNITED HEALTH CARE
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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