Back To Health Chiropractic Llc

LBN: Back To Health Chiropractic Llc
Back To Health Chiropractic Llc is an health care organization with primary practice located at 60 S 2Nd W , Rexburg ID 83440-1819. The organization recently has only one registered license in Ambulatory Health Care Facilities / Medical Specialty, which is considered as the primary health care specialty. Back To Health Chiropractic Llc can be contacted via phone (208) 359-2264, or through Schultz, Douglas Ryan via phone (208) 359-2264.

Contact Information

Primary practice address
60 S 2Nd W Rexburg ID 83440-1819
Phone: (208) 359-2264
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Schultz, Douglas Ryan Doctor of Chiropractic (DC)
Phone: (208) 359-2264

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Medical Specialty 261QM2500X

Profile Details

NPI number 1740812320
LBN Legal business name Back To Health Chiropractic Llc
DBA Doing business as
Authorized official Schultz, Douglas Ryan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2020
Last updated Feb 11th, 2020 - about 4 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 1740812320 NPPES
Idaho MEDICAID 009598

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