Back In Action Chiropractic Center, Llc in De Pere - Chiropractor
Back In Action Chiropractic Center, Llc - NPI 1902963812
Back In Action Chiropractic Center, Llc is a Chiropractor in De Pere, Wisconsin. Back In Action Chiropractic Center, Llc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Back In Action Chiropractic Center, Llc is 1902963812. The last update date is 2020-08-22.
Back In Action Chiropractic Center, Llc's current location address is 111 N 5th St, De Pere, Wisconsin. You can contact this provider via phone number 9203369355 and fax number 9203369358. The mailing address for Back In Action Chiropractic Center, Llc is 111 N 5th St, De Pere, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Back In Action Chiropractic Center, Llc |
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Address | 111 N 5th St, De Pere, Wisconsin |
Phone Number | 9203369355 |
Fax Number | 9203369358 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Hansen P Steven |
Credentials | D.C. |
Telephone Number | 9203369355 |
NPI Number Detail
NPI Number | 1902963812 |
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Provider Enumeration Date | 2007-01-02 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 111 N 5th St |
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City | De Pere |
State | Wisconsin (WI) |
Post Code | 541152201 |
Phone Number | 9203369355 |
Fax Number | 9203369358 |
Provider's Primary Taxonomy Detail
Speciality | Chiropractor |
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Taxonomy | 111N00000X |
Licence No | 3652-012 |
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 unique provider identifier assigned to Back In Action Chiropractic Center, Llc?
The Back In Action Chiropractic Center, Llc has been issued the NPI (National Provider Identifier) 1902963812 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Back In Action Chiropractic Center, Llc is located?
The Back In Action Chiropractic Center, Llc is situated at the following address: 111 N 5Th St, De Pere, WI, 541152201.
What is Back In Action Chiropractic Center, Llc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Back In Action Chiropractic Center, Llc is Chiropractor, and the taxonomy code that classifies this field of practice is 111N00000X.
On what date did the Back In Action Chiropractic Center, Llc receive the assignment of its 1902963812 from the Centers for Medicare & Medicaid Services?
The Back In Action Chiropractic Center, Llc was issued its 1902963812 by the Centers for Medicare & Medicaid Services on 2007-01-02.
As of what date were the details pertaining to Back In Action Chiropractic Center, Llc last refreshed?
The information related to the Back In Action Chiropractic Center, Llc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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