| Back To Back Chiropractic Ltd | |
|
1825 Avenue Of The Cities, Moline, IL 61265-4859 | |
| (309) 797-6200 | |
| (309) 797-6201 |
| Full Name | Back To Back Chiropractic Ltd |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1825 Avenue Of The Cities, Moline, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619984804 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 038009599 (Illinois) | Primary |
| Provider Name | Patricia M Miller |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1457368631 PECOS PAC ID: 6305027301 Enrollment ID: I20110224000065 |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Back Chiropractic Ltd 1825 Avenue Of The Cities, Moline, IL 61265-4859 Ph: (309) 797-6200 | Back To Back Chiropractic Ltd 1825 Avenue Of The Cities, Moline, IL 61265-4859 Ph: (309) 797-6200 |
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