A Back & Neck Pain Center Inc
Organization Active NPI Chiropractor · Brazil, IN
NPI 1295874667 · NPPES record last updated Mar 31, 2014
Key facts
- NPI
- 1295874667
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08000514A (IN)
- Legal business name
- A BACK & NECK PAIN CENTER INC
- Practice address
- 501 E US Hwy 40
Brazil, IN 47834 - Phone
- (812) 448-8404
- Fax
- (812) 443-1427
- NPI assigned
- Feb 5, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- A BACK & NECK PAIN CENTER INC
Authorized official
- Name
- Dr. Michael E Whitman, DC
- Title
- President
- Phone
- (812) 448-8404
Practitioners 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20091102000324 | IN | Part B Supplier - Clinic/Group Practice | 8022155563 |
Receives reassigned benefits from 2 practitioners Practice locations: Brazil, IN |
National Provider Directory
- Part of
- A Back Neck Pain Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 08000514A | IN | Yes |
Addresses
Primary practice location
501 E US Hwy 40
Brazil, IN 47834
Mailing address
PO Box 244
Brazil, IN 47834
Phone (812) 448-8404
Other providers in Brazil, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2014. 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.