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NPI Code Detail

MEDICARE: BACK & NECK CARE CENTER, P.C.

MEDICARE: BACK & NECK CARE CENTER, 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
1261QM1300XMulti-Specialty Clinic/CenterMO

General Provider Information

NPI Number : 1184731010
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK & NECK CARE CENTER, P.C.
Provider Business Mailing Address
First Line : 2682 BABBLE CREEK LN
Second Line :
City : O FALLON
State : MO
Zip : 63368-8337
Country : US
Telephone Number : 636-978-3000
Fax Number : 636-978-1821
Provider Business Practice Location Address
First Line : 2682 BABBLE CREEK LN
Second Line :
City : O FALLON
State : MO
Zip : 63368-8337
Country : US
Telephone Number : 636-978-3000
Fax Number : 636-978-1821
Authorized Official
Title or Position : OWNER
Name : DR. MATTHEW DAVID GOODWIN
Credential : D.C.
Telephone Number : 636-978-3000
Provider Enumeration Date : 08/24/2006
Last Update Date : 08/22/2020

Similar Medicare Providers

1255448148 — MRS. DIANE MARIE KEMPER M.P.T.
Practice Location Address:
2682 BABBLE CREEK LN
O FALLON, MO
63368-8337
Practice Phone: 636-978-3000
Practice Fax: 636-978-1821
1851478770 — AARON EUGENE MOHR DC
Practice Location Address:
2682 BABBLE CREEK LN
O FALLON, MO
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1265562540 — MATTHEW DAVID GOODWIN D.C.
Practice Location Address:
2682 BABBLE CREEK LN
O FALLON, MO
63368-8337
Practice Phone: 636-978-3000
Practice Fax: 636-978-1821
1083958706 — O'FALLON PAIN RELIEF ASSOCIATES LLC
Practice Location Address:
2682 BABBLE CREEK LN
O FALLON, MO
63368-8337
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Practice Fax: 636-978-1821
1700306867 — DR. JONATHAN PAUL WILLIAMS MD
Practice Location Address:
20 PROGRESS POINT PKWY STE 200
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1972450336 — GATEWAY TO CARE MANAGEMENT
Practice Location Address:
117 DUSTY ROSE DR
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Practice Phone: 636-747-4263
Practice Fax: 636-294-6893

Directions to “BACK & NECK CARE CENTER, P.C. ” Practice Location

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