Backbone of Healthcare PC
Organization Active NPI Chiropractor · Broken Bow, NE
NPI 1275720989 · NPPES record last updated Sep 26, 2007
Key facts
- NPI
- 1275720989
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- Legal business name
- BACKBONE OF HEALTHCARE PC
- Practice address
- 606 S 9TH Ave
Broken Bow, NE 68822-2408 - Phone
- (308) 872-2171
- Fax
- (308) 872-6093
- NPI assigned
- Sep 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Chad Erin Hackel, DC
- Title
- Chiropractor
- Phone
- (308) 872-2171
Practitioners 1
-
Chad Erin Hackel, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NE
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100714000347 | NE | Part B Supplier - Clinic/Group Practice | 5597897389 |
Receives reassigned benefits from 1 practitioner Practice locations: Broken Bow, NE |
National Provider Directory
Locations
606 S 9th Ave
Broken Bow, NE 68822
Phone (308) 872-2171
Interoperability endpoints
- ceh1975@bohp0001.direct.chirotouch.md
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | Yes |
Addresses
Primary practice location
606 S 9TH Ave
Broken Bow, NE 68822-2408
Mailing address
606 S 9TH Ave
Broken Bow, NE 68822-2408
Phone (308) 872-2171
Other providers in Broken Bow, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.