| Backbone Chiropractic Inc | |
|
9921 Coldwater Rd Fort Wayne IN 46825-2041 | |
| (260) 218-0500 | |
| Not Available |
| Full Name | Backbone Chiropractic Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 9921 Coldwater Rd, Fort Wayne, Indiana |
| Authorized Official Name and Position | Joshua Dean Beck (SOLE OWNER) |
| Authorized Official Contact | 2199164456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Backbone Chiropractic Inc 17230 County Road 18 Goshen IN 46528-8681 Ph: (219) 916-4456 | Backbone Chiropractic Inc 9921 Coldwater Rd Fort Wayne IN 46825-2041 Ph: (260) 218-0500 |
| NPI Number | 1972254415 |
|---|---|
| Provider Enumeration Date | 01/17/2022 |
| Last Update Date | 01/17/2022 |
| Medicare PECOS PAC ID | 0840685574 |
|---|---|
| Medicare Enrollment ID | O20220316001862 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972254415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Joshua Dean Beck |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1265922132 PECOS PAC ID: 0345594735 Enrollment ID: I20181124000009 |
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