MEDICARE: BACH CARE, INC., AKA BACH CHIROPRACTIC

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	170061-1202	UT

General Provider Information

NPI Number	:	1871618843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BACH CARE, INC., AKA BACH CHIROPRACTIC

Provider Business Mailing Address
First Line	:	1473 S 600 E
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84105-2062
Country	:	US
Telephone Number	:	801-487-1010
Fax Number	:

Provider Business Practice Location Address
First Line	:	1473 S 600 E
Second Line	:
City	:	SLC
State	:	UT
Zip	:	84105-2062
Country	:	US
Telephone Number	:	801-487-1010
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JOHN A BACH
Credential	:	DC
Telephone Number	:	801-487-1010

Provider Enumeration Date	:	03/20/2007
Last Update Date	:	04/05/2011

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Directions to “BACH CARE, INC., AKA BACH CHIROPRACTIC ” Practice Location

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