Back To Life Chiropractic, Inc in Phoenix - Chiropractor
Back To Life Chiropractic, Inc - NPI 1982874764
Back To Life Chiropractic, Inc is a Chiropractor in Phoenix, Arizona. Back To Life Chiropractic, Inc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Back To Life Chiropractic, Inc is 1982874764. The last update date is 2013-06-11.
Back To Life Chiropractic, Inc's current location address is 4045 E Bell Rd, Phoenix, Arizona. You can contact this provider via phone number 4807031834 and fax number 6024932399. The mailing address for Back To Life Chiropractic, Inc is 4045 E Bell Rd, Phoenix, Arizona. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back To Life Chiropractic, Inc |
|---|---|
| Address | 4045 E Bell Rd, Phoenix, Arizona |
| Phone Number | 4807031834 |
| Fax Number | 6024932399 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Koc Jerome John |
| Credentials | D.C. |
| Telephone Number | 4807031834 |
NPI Number Detail
| NPI Number | 1982874764 |
|---|---|
| Provider Enumeration Date | 2008-03-07 |
| Last Updated Date | 2013-06-11 |
Provider Mailing Address Detail
| Address | 4045 E Bell Rd |
|---|---|
| City | Phoenix |
| State | Arizona (AZ) |
| Post Code | 850322236 |
| Phone Number | 4807031834 |
| Fax Number | 6024932399 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 6076 |
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Definition: 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 inte |
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What is the Back To Life Chiropractic, Inc's unique identification number?
The Back To Life Chiropractic, Inc has been assigned the NPI (National Provider Identifier) Number 1982874764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Back To Life Chiropractic, Inc?
The Back To Life Chiropractic, Inc is situated at 4045 E Bell Rd, in the city of Phoenix, state of AZ, with the zip code 850322236.
What is Back To Life Chiropractic, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Back To Life Chiropractic, Inc is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Back To Life Chiropractic, Inc receive the assignment of its 1982874764 from the Centers for Medicare & Medicaid Services?
The Back To Life Chiropractic, Inc was issued its 1982874764 by the Centers for Medicare & Medicaid Services on 2008-03-07.
When was the information related to Back To Life Chiropractic, Inc most recently updated or refreshed?
The details pertaining to the Back To Life Chiropractic, Inc, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-06-11.