MEDICARE: BACK TO HEALTH P.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	1598	CO

General Provider Information

NPI Number	:	1952472060
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK TO HEALTH P.C.

Provider Business Mailing Address
First Line	:	2708 CLOVER CT
Second Line	:
City	:	MONTROSE
State	:	CO
Zip	:	81401-5619
Country	:	US
Telephone Number	:	970-249-3594
Fax Number	:

Provider Business Practice Location Address
First Line	:	126 S PARK AVE
Second Line	:
City	:	MONTROSE
State	:	CO
Zip	:	81401-3950
Country	:	US
Telephone Number	:	970-249-3594
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. CHARLES WILLIAM SPEARS
Credential	:	D.C.
Telephone Number	:	970-249-3594

Provider Enumeration Date	:	11/11/2006
Last Update Date	:	08/22/2020

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Directions to “BACK TO HEALTH P.C. ” Practice Location

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