National Provider Identifier Database

BACK TO ACTIVE CHIROPRACTIC CLINIC
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 ACTIVE CHIROPRACTIC CLINIC
500 WAIT AVE STE 1
WAKE FOREST, NC27587-2779
Phone: 984-900-1137
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BACK TO ACTIVE CHIROPRACTIC CLINIC

NPI Number 1699410522
Legal business name
LBN
BACK TO ACTIVE CHIROPRACTIC CLINIC
Authorized official HILLARY LIMA - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/04/2022
Last updated 05/04/2022 - About 4 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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