Back to Health, LLC
Organization Active NPI Chiropractor · Decatur, IN
NPI 1366549586 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1366549586
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Chiropractor 111N00000X
- License
- 08002260A (IN)
- Legal business name
- BACK TO HEALTH, LLC
- Practice address
- 1015 S 11TH St
Decatur, IN 46733-2164 - Phone
- (260) 728-4194
- Fax
- (260) 728-4195
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Shad Alan Foster, D.C
- Title
- Owner
- Phone
- (419) 238-6686
Practitioners 6
-
Shad Alan Foster, D.C.
-
Oakland Lawrence Gaerke, D.C.
-
Kristy Ann Lenwell, D.C.
-
Todd R Bullinger, D.C.
National Provider Directory
Locations
1015 S 11th St
Decatur, IN 46733
Phone (260) 728-4191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor |
111N00000X | 08002260A | IN | Yes |
| Chiropractor |
111N00000X | 8002146A | IN |
Addresses
Primary practice location
1015 S 11TH St
Decatur, IN 46733-2164
Mailing address
10963 Van Wert Decatur Rd
Van Wert, OH 45891-9211
Phone (419) 238-6686
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164450896 | Other | NPI | |
| 1932203379 | Other | NPI | |
| 1649215021 | Other | NPI |
Other providers in Decatur, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.