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BACK TO HEALTH LLC NPI 1932360369


NPI Information

NPI: 1932360369
Provider Name: BACK TO HEALTH, LLC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
45 ACADEMY ST
STE. 401
NEWARK, NJ
ZIP 07102
Phone: (973) 242-1402
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BACK TO HEALTH, LLC is a chiropractor in Newark, NJ. 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, LLC NPI is 1932360369. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

45 ACADEMY ST
STE. 401
NEWARK, NJ
ZIP 07102-924
Phone: (973) 242-1402

The provider's authorized official is Anthony R Serle .
The authorized official title is Owner/doctor and has the following contact phone number (973) 242-1402.

The enumeration date for this NPI number is 6/18/2008 and was last updated on 6/18/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1111N00000XChiropractorMC005560NEW JERSEYYes

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
1090734MEDICARE PINNEW JERSEY
2VO4944MEDICARE UPINNEW JERSEY
31982701520OTHERNEW JERSEYPROVIDER NPI

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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