BACK WELLNESS CENTER PC NPI 1962796870

NPI Information

  • NPI: 1962796870
  • Provider Name: BACK WELLNESS CENTER PC
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Former Legal Business Name: JAMES J WODA DC
  • Address: 23100 CHERRY HILL ST STE 4
    DEARBORN, MI
    ZIP 48124
  • Phone: (313) 724-8925

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NPI Details

BACK WELLNESS CENTER PC is a chiropractor in Dearborn, 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 WELLNESS CENTER PC NPI is 1962796870. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is James J Woda Dc.

The provider's business location address is:

23100 CHERRY HILL ST STE 4
DEARBORN, MI
ZIP 48124-449
Phone: (313) 724-8925
Fax: (313) 724-8926

The provider's authorized official is James Joseph Woda .
The authorized official title is Owner and has the following contact phone number (313) 724-8925.

The enumeration date for this NPI number is 6/8/2011 and was last updated on 12/11/2024.

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
1111N00000XChiropractor2301007303MICHIGANYes

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
13489405MEDICAIDMICHIGAN
20H25371OTHERMICHIGANBCBS

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: 11/21/2025

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