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Contact Information

BACK 2 BACK CHIROPRACTIC GROUP LLC
206 JOE V KNOX AVENUE
SUITE C
MOORESVILLE, NC28117
 Phone: 704-799-1999
 Fax: 704-663-8225
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BACK 2 BACK CHIROPRACTIC GROUP LLC

NPI Number 1962560284
LBN Legal business name BACK 2 BACK CHIROPRACTIC GROUP LLC
Authorized official DERIK BALTICH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2006
Last updated 02/04/2010 - About 16 years ago
Identifiers
NC License # 3047
NC Medicaid 98014NP
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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