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BACK TO NORMAL CHIROPRACTIC PC NPI 1376692764


NPI Information

NPI: 1376692764
Provider Name: BACK TO NORMAL CHIROPRACTIC, PC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
78 CENTRAL ST
UNIT 3
IPSWICH, MA
ZIP 01938
Phone: (978) 317-6756
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BACK TO NORMAL CHIROPRACTIC, PC is a chiropractor in Ipswich, MA. 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 TO NORMAL CHIROPRACTIC, PC NPI is 1376692764. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

78 CENTRAL ST
UNIT 3
IPSWICH, MA
ZIP 01938-965
Phone: (978) 317-6756
Fax: (978) 412-9099

The provider's authorized official is Swiatoslaw Alexander Paduchak .
The authorized official title is President and has the following contact phone number (978) 317-6756.

The enumeration date for this NPI number is 1/9/2007 and was last updated on 4/15/2014.


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
1111N00000XChiropractorCH1689MASSACHUSETTSYes

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
1Y49100MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSBACK TO NORMAL CHIROPRACT
2U28662MEDICARE UPINMASSACHUSETTS
31376692764OTHERMASSACHUSETTSNPPES
4Y36186MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSS. ALEXANDER PADUCHAK, DC
5Y39686OTHERMASSACHUSETTSBCBSMA
6Y49100MEDICARE PINMASSACHUSETTS
71851379721OTHERMASSACHUSETTSNPPES
8TX7270MEDICARE PINMASSACHUSETTS

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: 4/28/2024

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