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BACK SPECIALISTS OF THE MIDWEST LLC NPI 1346345840


NPI Information

NPI: 1346345840
Provider Name: BACK SPECIALISTS OF THE MIDWEST LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
5109 S CROSSING PL
STE 1
SIOUX FALLS, SD
ZIP 57108
Phone: (605) 361-1700
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BACK SPECIALISTS OF THE MIDWEST LLC is a chiropractor in Sioux Falls, SD. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. BACK SPECIALISTS OF THE MIDWEST LLC NPI is 1346345840. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5109 S CROSSING PL
STE 1
SIOUX FALLS, SD
ZIP 57108-076
Phone: (605) 361-1700
Fax: (605) 361-0113

The provider's authorized official is Bruce Jon Hagen .
The authorized official title is Owner and has the following contact phone number (605) 361-1700.

The enumeration date for this NPI number is 9/13/2006 and was last updated on 9/28/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1225100000XPhysical Therapist1351SOUTH DAKOTANo
2111N00000XChiropractor714SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1101558MEDICARE PINSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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