Active Back Pain Relief Center Llc in West Springfield - Chiropractor
Active Back Pain Relief Center Llc - NPI 1063558849
Active Back Pain Relief Center Llc is a Chiropractor in West Springfield, Massachusetts. Active Back Pain Relief Center Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Active Back Pain Relief Center Llc is 1063558849. The last update date is 2020-08-22.
Active Back Pain Relief Center Llc's current location address is 82 Main Street, West Springfield, Massachusetts. You can contact this provider via phone number 4137377787 and fax number 4137377789. The mailing address for Active Back Pain Relief Center Llc is 82 Main Street, West Springfield, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Active Back Pain Relief Center Llc |
|---|---|
| Address | 82 Main Street, West Springfield, Massachusetts |
| Phone Number | 4137377787 |
| Fax Number | 4137377789 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MEMBER |
|---|---|
| Authorized Official Name | Johnsen E Christopher |
| Credentials | DC |
| Telephone Number | 4137377787 |
NPI Number Detail
| NPI Number | 1063558849 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 82 Main Street |
|---|---|
| City | West Springfield |
| State | Massachusetts (MA) |
| Post Code | 1089 |
| Phone Number | 4137377787 |
| Fax Number | 4137377789 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | 1917 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| Y39217 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Active Back Pain Relief Center Llc by the Centers for Medicare & Medicaid Services?
The Active Back Pain Relief Center Llc has been issued the NPI (National Provider Identifier) 1063558849, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Active Back Pain Relief Center Llc is located?
The Active Back Pain Relief Center Llc is situated at the following address: 82 Main Street, West Springfield, MA, 1089.
What is Active Back Pain Relief Center Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Active Back Pain Relief Center Llc is Chiropractor, and the taxonomy classification code that categorizes this area of expertise is 111N00000X.
On what date did the Active Back Pain Relief Center Llc receive the assignment of its 1063558849 from the Centers for Medicare & Medicaid Services?
The Active Back Pain Relief Center Llc was issued its 1063558849 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details pertaining to Active Back Pain Relief Center Llc last refreshed?
The information related to the Active Back Pain Relief Center Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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