National Provider Identifier Database

BACK 2 BACK CHIROPRACTIC LLC
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 2 BACK CHIROPRACTIC LLC
RR 1 BOX 458
SHAMOKIN, PA17872-9721
Phone: 570-797-1000
Fax: 570-797-4977
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BACK 2 BACK CHIROPRACTIC LLC

NPI Number 1902805088
Legal business name
LBN
BACK 2 BACK CHIROPRACTIC LLC
Authorized official JAMIE REED - (MEMBER)
Entity Organization
Organization subpart No
Enumeration date 07/20/2005
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers
  • PA License #: DC 008791
  • PA Medicaid: 101192963-001
  • PA Other: RE1596111 BLUE CROSS BLUE SHIELD

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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