Back & Neck Care Clinic, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

038012578 Issued in IL

Legal business name

BACK & NECK CARE CLINIC, LLC

Practice address

410 E Main St
Mascoutah, IL 62258-2229

Phone

(618) 566-3005

Fax

(618) 551-2777

NPI assigned

Sep 5, 2014

Last updated

Oct 1, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David Bowden II, D.C.

Title

Owner

Phone

(618) 566-3005

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443657600000",
    "number": "1205237559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582229",
            "telephone_number": "618-566-3005",
            "fax_number": "618-551-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 E MAIN ST",
            "city": "MASCOUTAH",
            "state": "IL",
            "postal_code": "622582229",
            "telephone_number": "618-566-3005",
            "fax_number": "618-551-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK & NECK CARE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-05",
        "last_updated": "2015-10-01",
        "status": "A",
        "authorized_official_last_name": "BOWDEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "618-566-3005",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IL",
            "license": "038012578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Anderson
• Aperion Care Mascoutah LLC (Aperion Care Mascoutah)
• Aperion Care Mascoutah LLC
• Mackenzie Atchie
• Brian C Back, D.M.D.
• Christina Lynn Bauer, RBT
• Jessica G Baynes, RBT
• Sara L Beer
• Lauren Behme, BCBA

• Clinic/Center in Mascoutah, IL
• Providers in Mascoutah, IL by specialty
• Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.