MEDICARE: BACKSAVER, L.L.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	CH7794	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	653020	OTHER	FL	ACN
2	1699797621	OTHER	FL	NPI INDIVIDUAL
3	76943	OTHER	FL	BCBS

General Provider Information

NPI Number	:	1306041041
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACKSAVER, L.L.C.

Provider Business Mailing Address
First Line	:	114 HEMINGWAY CT
Second Line	:
City	:	ROYAL PALM BEACH
State	:	FL
Zip	:	33411-1504
Country	:	US
Telephone Number	:	561-676-3061
Fax Number	:	561-656-1637

Provider Business Practice Location Address
First Line	:	501 VILLAGE BLVD
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33409-1903
Country	:	US
Telephone Number	:	561-721-2565
Fax Number	:	561-721-2564

Authorized Official
Title or Position	:	OWNER, CHIROPRACTOR
Name	:	DR. CHRISTOPHER WHITE
Credential	:	D.C.
Telephone Number	:	561-676-3061

Provider Enumeration Date	:	06/20/2007
Last Update Date	:	08/22/2020

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Directions to “BACKSAVER, L.L.C. ” Practice Location

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