DR. JASON WILLIAM BACK D.C. NPI 1841261930

NPI Information

NPI: 1841261930
Provider Name: DR. JASON WILLIAM BACK, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
501 N MORTON AVE
MORTON, IL
ZIP 61550
Phone: (309) 263-4673
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DR. Jason William Back, D.C. is a chiropractor in Morton, IL. 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. DR. Jason William Back, D.C. NPI is 1841261930. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

501 N MORTON AVE
MORTON, IL
ZIP 61550-526
Phone: (309) 263-4673
Fax: (309) 263-4611

The enumeration date for this NPI number is 1/28/2006 and was last updated on 11/26/2008.

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		APPLIED FOR	MISSOURI	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	V08493	MEDICARE UPIN

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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