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BACK TO HEALTH CHIROPRACTIC INC. NPI 1962582296


NPI Information

NPI: 1962582296
Provider Name: BACK TO HEALTH CHIROPRACTIC, INC.
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
27450 YNEZ RD
116
TEMECULA, CA
ZIP 92591
Phone: (951) 587-2225
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BACK TO HEALTH CHIROPRACTIC, INC. is a chiropractor in Temecula, CA. 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, INC. NPI is 1962582296. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27450 YNEZ RD
116
TEMECULA, CA
ZIP 92591-649
Phone: (951) 587-2225
Fax: (951) 587-2220

The provider's authorized official is Mark Banasiak .
The authorized official title is Dr Of Chiropractic and has the following contact phone number (951) 587-2225.

The enumeration date for this NPI number is 10/17/2006 and was last updated on 2/8/2010.


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
1111N00000XChiropractorDC23625CALIFORNIAYes

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
16199840001MEDICARE NSCCALIFORNIA
2U57722MEDICARE UPINCALIFORNIA
3DC0236250MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
4DC0236250OTHERCALIFORNIABLUE SHIELD

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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