Back Mountain Neurodiagnostics, Pc in Trucksville - Neurology
Back Mountain Neurodiagnostics, Pc - NPI 1548487218
Back Mountain Neurodiagnostics, Pc is a Neurology in Trucksville, Pennsylvania. Back Mountain Neurodiagnostics, Pc practices all healthcare services and medical treatments related to Neurology. The NPI Number for Back Mountain Neurodiagnostics, Pc is 1548487218. The last update date is 2007-10-04.
Back Mountain Neurodiagnostics, Pc's current location address is 165 S Memorial Hwy, Trucksville, Pennsylvania. You can contact this provider via phone number 5706964348. The mailing address for Back Mountain Neurodiagnostics, Pc is 165 S Memorial Hwy, Trucksville, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Back Mountain Neurodiagnostics, Pc |
|---|---|
| Address | 165 S Memorial Hwy, Trucksville, Pennsylvania |
| Phone Number | 5706964348 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Morris Evan Mark |
| Telephone Number | 5706964348 |
NPI Number Detail
| NPI Number | 1548487218 |
|---|---|
| Provider Enumeration Date | 2007-04-20 |
| Last Updated Date | 2007-10-04 |
Provider Mailing Address Detail
| Address | 165 S Memorial Hwy |
|---|---|
| City | Trucksville |
| State | Pennsylvania (PA) |
| Post Code | 187081418 |
| Phone Number | 5706964348 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Neurology |
|---|---|
| Taxonomy | 111Nn0400X |
| Licence No | DC009260 |
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Definition: Chiropractic Neurology is defined as the field of functional neurology that engages the internal - and external environment of the individual in a structured and targeted approach to affect positive changes in the nervous system and consequently the |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| BA1689016 | PA | GROUPBCBS |
Post Comment/ Review Below
What is the Back Mountain Neurodiagnostics, Pc's 1548487218?
The Back Mountain Neurodiagnostics, Pc's NPI (National Provider Identifier) Number is 1548487218. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Back Mountain Neurodiagnostics, Pc?
The Back Mountain Neurodiagnostics, Pc is situated at 165 S Memorial Hwy, in the city of Trucksville, state of PA, with the zip code 187081418.
What is Back Mountain Neurodiagnostics, Pc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Back Mountain Neurodiagnostics, Pc's specialized field of practice is Neurology, and the corresponding taxonomy code that categorizes this area of specialization is 111Nn0400X.
On what date did the Centers for Medicare & Medicaid Services issue the 1548487218 to Back Mountain Neurodiagnostics, Pc?
The Back Mountain Neurodiagnostics, Pc received its 1548487218 assignment from the Centers for Medicare & Medicaid Services on 2007-04-20.
When was the information pertaining to Back Mountain Neurodiagnostics, Pc most recently updated or revised?
The details related to Back Mountain Neurodiagnostics, Pc, including its address, specialty, and other relevant information, were last updated or revised on 2007-10-04.