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Contact Information

BACK IN ACTION CHIROPRACTIC, PLLC
118 TAMARACK RD
EAST BURKE, VT05832
 Phone: 802-274-2302
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
 

Sports Physician

111NS0005X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK IN ACTION CHIROPRACTIC, PLLC

NPI # 1679977409
LBN Legal business name BACK IN ACTION CHIROPRACTIC, PLLC
Authorized official TERI DODGE - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2014
Last updated 10/22/2014 - About 12 years ago
Identifiers
VT License # 0060001202
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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