BIBCO INC NPI 1134209919

NPI Information

NPI: 1134209919
Provider Name: BIBCO INC

Doing Business As: BACK & NECK PAIN CLINIC

Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
601 E CALL ST
STARKE, FL
ZIP 32091
Phone: (904) 964-8018
Get Directions

BIBCO INC is a chiropractor in Starke, FL. 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. BIBCO INC NPI is 1134209919. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Back & Neck Pain Clinic.

The provider's business location address is:

601 E CALL ST
STARKE, FL
ZIP 32091
Phone: (904) 964-8018
Fax: (904) 964-9131

The provider's authorized official is Virgil A Berry .
The authorized official title is Owner and has the following contact phone number (904) 964-8018.

The enumeration date for this NPI number is 10/16/2006 and was last updated on 6/28/2011.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		CH5217	FLORIDA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	T83788	MEDICARE UPIN
2	70979	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA
3	050750400	MEDICAID	FLORIDA
4	70979	OTHER	FLORIDA	BCBS

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: 5/5/2024

NPI Synchronization or Removal

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