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NPI Code Detail

MEDICARE: BACK ON TRACK FAMILY CHIROPRACTIC CENTER, INC.

MEDICARE: BACK ON TRACK FAMILY CHIROPRACTIC CENTER, 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
1111N00000XChiropractor910CHIMT

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
142181OTHERMTBCBS

General Provider Information

NPI Number : 1811188907
Entity Type Code : Organization
Provider Name (Legal Business Name) : BACK ON TRACK FAMILY CHIROPRACTIC CENTER, INC.
Provider Business Mailing Address
First Line : # 5 SOUTH MERIDIAN RD
Second Line :
City : KALISPELL
State : MT
Zip : 59901-4263
Country : US
Telephone Number : 406-755-1001
Fax Number : 406-755-1862
Provider Business Practice Location Address
First Line : # 5 SOUTH MERIDIAN RD
Second Line :
City : KALISPELL
State : MT
Zip : 59901-4263
Country : US
Telephone Number : 406-755-1001
Fax Number : 406-755-1862
Authorized Official
Title or Position : PRESIDENT
Name : DR. ANTHONY JOSEPH POPP JR.
Credential : D.C.
Telephone Number : 406-755-1001
Provider Enumeration Date : 08/05/2007
Last Update Date : 01/26/2023

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Directions to “BACK ON TRACK FAMILY CHIROPRACTIC CENTER, INC. ” Practice Location

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