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BACK TO HEALTH CHIROPRACTIC AND WELLNESS INC. NPI 1386860351


NPI Information

NPI: 1386860351
Provider Name: BACK TO HEALTH CHIROPRACTIC AND WELLNESS, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization

CLIA Number: 24D0404678

Address:
619 HUFF ST
WINONA, MN
ZIP 55987
Phone: (507) 454-7870
Get Directions

BACK TO HEALTH CHIROPRACTIC AND WELLNESS, INC. is a chiropractor in Winona, MN. 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 HEALTH CHIROPRACTIC AND WELLNESS, INC. NPI is 1386860351. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

619 HUFF ST
WINONA, MN
ZIP 55987-886
Phone: (507) 454-7870
Fax: (507) 454-7778

The provider's authorized official is Dale G Dennis .
The authorized official title is Owner and has the following contact phone number (507) 454-7870.

The CLIA number assigned to this NPI record is 24D0404678 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2007 and was last updated on 11/12/2015.


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
1111N00000XChiropractor4652MINNESOTANo
2111N00000XChiropractor4254MINNESOTAYes

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
1517K4GOOTHERMINNESOTABCBS
2C04018MEDICARE ID-TYPE UNSPECIFIEDMINNESOTA
3674448600MEDICAIDMINNESOTA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.