Back To Wellness Plc

LBN: Back To Wellness Plc
Back To Wellness Plc is an health care organization with primary practice located at 368 Dorset St Ste 3 , South Burlington VT 05403-6236. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Back To Wellness Plc can be contacted via phone (802) 864-4959, or through Diederich, Heather Lynn via phone (802) 434-6669.

Contact Information

Primary practice address
368 Dorset St Ste 3 South Burlington VT 05403-6236
Phone: (802) 864-4959
Fax: (802) 864-4959
Website:
Map and Directions
Authorized official contact:
Name: Diederich, Heather Lynn Doctor of Chiropractic (DC)
Phone: (802) 434-6669

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 006-0000998 Vermont

Profile Details

NPI number 1912211210
LBN Legal business name Back To Wellness Plc
DBA Doing business as
Authorized official Diederich, Heather Lynn Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 29th, 2010
Last updated Sep 21st, 2011 - about 13 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 1912211210 NPPES
Vermont MEDICAID VN1626

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