Back To Health Wellness Clinic

LBN: Crisman Dixon & Associates P C
Back To Health Wellness Clinic is an health care organization with primary practice located at 552 Kirkeby Ln , Rapid City SD 57702-2502. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Crisman Dixon & Associates P C can be contacted via phone (605) 718-7312, or through Crisman, Bruce A via phone (605) 718-7312.

Contact Information

Primary practice address
552 Kirkeby Ln Rapid City SD 57702-2502
Phone: (605) 718-7312
Fax: (605) 718-9008
Website:
Map and Directions
Authorized official contact:
Name: Crisman, Bruce A Doctor of Chiropractic (DC)
Phone: (605) 718-7312

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 774 South Dakota

Profile Details

NPI number 1689735961
LBN Legal business name Crisman Dixon & Associates P C
DBA Doing business as Back To Health Wellness Clinic
Authorized official Crisman, Bruce A Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 12th, 2006
Last updated Aug 22nd, 2020 - about 5 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 1689735961 NPPES
South Dakota MEDICAID 7600534
South Dakota Other 0040127

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