Organization · NPI-2

Backbone Chiropractic INC

Clinic/Center · Fort Wayne, IN

NPI number1972254415
StatusActive
Last updated in NPPESJan 17, 2022

Details

NPI
1972254415
Entity type
Organization (NPI-2)
Legal business name
Backbone Chiropractic INC
Organization subpart
No
Enumeration date
Jan 17, 2022
Certification date
Jan 12, 2022
Last updated
Jan 17, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261Q00000X Clinic/Center––Yes

Practice location

9921 Coldwater Rd
Fort Wayne, IN 46825-2041

Phone 260-218-0500

Mailing address

17230 County Road 18
Goshen, IN 46528-8681

Phone 219-916-4456

Other practice locations

106 S Main St
Middlebury, IN 46540

Phone 574-350-6682

Authorized official

Joshua Dean Beck
Sole Owner
2199164456

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