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NPI Code Detail

MEDICARE: BACK STRATEGIES, INC

MEDICARE: BACK STRATEGIES, INC
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
1111N00000XChiropractorDC005676LPA

General Provider Information

NPI Number : 1366694036
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK STRATEGIES, INC
Provider Business Mailing Address
First Line : 37 E WYNNEWOOD RD
Second Line : 2ND FLOOR
City : WYNNEWOOD
State : PA
Zip : 19096-1917
Country : US
Telephone Number : 215-658-2001
Fax Number :
Provider Business Practice Location Address
First Line : 7707 OGONTZ AVE
Second Line :
City : PHILADELPHIA
State : PA
Zip : 19150-1818
Country : US
Telephone Number : 267-286-0934
Fax Number :
Authorized Official
Title or Position : OWNER
Name : MR. STEPHEN J VERNILLE
Credential : DC
Telephone Number : 610-658-2001
Provider Enumeration Date : 10/14/2008
Last Update Date : 10/14/2008

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Directions to “BACK STRATEGIES, INC ” Practice Location

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