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Contact Information

BACKCOUNTRY SPINE AND SPORT INC
140 MARY STREET
UNIT B
LEMONT, PA16851
 Phone: 814-954-5095
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACKCOUNTRY SPINE AND SPORT INC

NPI # 1881232056
LBN Legal business name BACKCOUNTRY SPINE AND SPORT INC
Authorized official JOSHUA FELDBAUER - (CO-OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/18/2019
Last updated 09/08/2021 - About 5 years ago
Identifiers n/a
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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