Reservoir Chiropractic-Back Care Center, Inc.

LBN: Back Care Center, Inc.
Reservoir Chiropractic-Back Care Center, Inc. is an health care organization with primary practice located at 1149 Old Fannin Rd Suite 22, Brandon MS 39047-9244. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Back Care Center, Inc. can be contacted via phone (601) 992-3050, or through Mathews, Charles V via phone (601) 992-3050.

Contact Information

Primary practice address
1149 Old Fannin Rd Suite 22 Brandon MS 39047-9244
Phone: (601) 992-3050
Fax: (601) 992-3051
Website:
Map and Directions
Authorized official contact:
Name: Mathews, Charles V M.S., D. C.
Phone: (601) 992-3050

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 0230 Mississippi

Profile Details

NPI number 1922254929
LBN Legal business name Back Care Center, Inc.
DBA Doing business as Reservoir Chiropractic-Back Care Center, Inc.
Authorized official Mathews, Charles V M.S., D. C.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2008
Last updated Sep 15th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922254929 NPPES
Mississippi Other 350000104 MEDICARE IDENTIFICATION NUMBER

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