| Back To Health Cmc Inc | |
|
6224 Fayetteville Rd, Suite 106b, Durham, NC 27713-6288 | |
| (919) 544-8881 | |
| (919) 544-8889 |
| Full Name | Back To Health Cmc Inc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 6224 Fayetteville Rd, Durham, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508932948 | NPI | - | NPPES |
| 085FR | Other | NC | BCBS |
| 621714 | Other | NC | ACN |
| 621714 | Other | NC | CIGNA |
| 085FR | Other | NC | CNC |
| 890839W | Medicaid | NC | |
| 621714 | Other | NC | UNITED HEALTH CARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2687 (North Carolina) | Primary |
| Provider Name | Kenneth L Brown |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1770659195 PECOS PAC ID: 7113198904 Enrollment ID: I20110928000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Back To Health Cmc Inc Po Box 52148, Durham, NC 27717-2148 Ph: (919) 544-8881 | Back To Health Cmc Inc 6224 Fayetteville Rd, Suite 106b, Durham, NC 27713-6288 Ph: (919) 544-8881 |
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