MEDICARE: BACK TO HEALTH CHIROPRACTIC & WELLNESS CARE, PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	111N00000X	Chiropractor
2	225100000X	Physical Therapist
3	363L00000X	Nurse Practitioner

General Provider Information

NPI Number	:	1033421151
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACK TO HEALTH CHIROPRACTIC & WELLNESS CARE, PC

Provider Business Mailing Address
First Line	:	506 HAMBURG TPKE STE 202
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2069
Country	:	US
Telephone Number	:	973-595-1809
Fax Number	:	973-807-9355

Provider Business Practice Location Address
First Line	:	506 HAMBURG TPKE STE 202
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-2069
Country	:	US
Telephone Number	:	973-595-1809
Fax Number	:	973-807-9355

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. ROMAN KREYMAN
Credential	:	DC
Telephone Number	:	917-776-4427

Provider Enumeration Date	:	07/06/2010
Last Update Date	:	10/02/2023

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