Back To Basics S.c.

NPI 1326123084 - Chiropractor - 111N00000X

NPI Details
NPI 1326123084
Enumeration Date 10/25/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOSEPH JOHN JOSEPH
Position PRESIDENT
Phone (920) 465-1431
Fax (920) 468-0405
Practice Location
1792 E MASON ST
GREEN BAY WI, 54302-3251, US
Phone (920) 465-1431
Fax (920) 468-0405
Business Location
PO BOX 8844
GREEN BAY WI, 54308-8844, US
Phone (920) 465-1431
Fax (920) 468-0405
Toxanomy
Taxonomy Code 111N00000X
License State
License Number
Remove 1326123084 NPI Number
 

According to our database, Back To Basics S.c. NPI is 1326123084, taxonomy code is 111N00000X Back To Basics S.c. physically located at 1792 E Mason St, Green Bay WI, 54302-3251. NPI Number 1033115704 has the healthcare provider type.

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1326123084 NPI number is provided on an as is basis without warranty of any kind. 1326123084 is maintained by the National Plan & Provider Enumeration System. The contents of Back To Basics S.c. are for informational purposes only.