| Back To Back Chiropractic | |
|
1343 Blossom Hill Rd, San Jose, CA 95118-3801 | |
| (408) 269-2225 | |
| (408) 979-7878 |
| Full Name | Back To Back Chiropractic |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1343 Blossom Hill Rd, San Jose, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386826436 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Primary |
| Provider Name | Noel M Chivers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194753798 PECOS PAC ID: 7719047174 Enrollment ID: I20081117000022 |
| Provider Name | Meronea J Lahann-chivers |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1780792655 PECOS PAC ID: 5799944518 Enrollment ID: I20120313000880 |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Back Chiropractic 1343 Blossom Hill Rd, San Jose, CA 95118-3801 Ph: (408) 269-2225 | Back To Back Chiropractic 1343 Blossom Hill Rd, San Jose, CA 95118-3801 Ph: (408) 269-2225 |
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