BACK TO HEALTH CHIROPRACTIC PLLC NPI 1902086390

NPI Information

BACK TO HEALTH CHIROPRACTIC PLLC is a chiropractor in Goodrich, MI. 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 PLLC NPI is 1902086390. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9037 S STATE RD
GOODRICH, MI
ZIP 48438-869
Phone: (810) 636-2190
Fax: (810) 636-7855

The provider's authorized official is Wayne Domenick .
The authorized official title is Owner and has the following contact phone number (810) 636-2190.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.

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:

Other Identifiers

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

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