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Contact Information

BACK AND PAIN RELIEF CENTER, SC
1223 W MAIN ST # 292
SUN PRAIRIE, WI53590-1942
 Phone: 608-373-1563
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK AND PAIN RELIEF CENTER, SC

NPI Number 1760809842
LBN Legal business name BACK AND PAIN RELIEF CENTER, SC
Authorized official GREGORY THIRY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 03/26/2014
Last updated 03/26/2014 - About 12 years ago
Identifiers
WI License # 2265-012
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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