The Back Doctor

LBN: Thomas G Reardon D.C. P.S.
The Back Doctor is an health care organization with primary practice located at 1717 Ne 44Th St Suite G, Renton WA 98056-9001. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Thomas G Reardon D.C. P.S. can be contacted via phone (425) 277-4098, or through Reardon, Thomas via phone (425) 277-4098.

Contact Information

Primary practice address
1717 Ne 44Th St Suite G Renton WA 98056-9001
Phone: (425) 277-4098
Fax: (425) 277-8239
Website:
Map and Directions
Authorized official contact:
Name: Reardon, Thomas Doctor of Chiropractic (DC)
Phone: (425) 277-4098

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH00002695 Washington

Profile Details

NPI number 1366591331
LBN Legal business name Thomas G Reardon D.C. P.S.
DBA Doing business as The Back Doctor
Authorized official Reardon, Thomas Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2007
Last updated Oct 22nd, 2007 - 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 1366591331 NPPES
Washington Other RE2839 REGENCE BLUE SHIELD
Washington Other 39743 REGENCE BLUE SHIELD

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