Back in Line Chiropractic and Wellness Center

Key facts

NPI

1760700652

Entity type

Organization (NPI type 2)

Primary specialty

Chiropractor 111N00000X

License

DC009700 (PA)

Legal business name

BACK IN LINE CHIROPRACTIC AND WELLNESS CENTER

Practice address

1642 Route 309
Quakertown, PA 18951-1805

Phone

(267) 374-8788

NPI assigned

May 17, 2010

Organization subpart

No

Authorized official

Name

Mrs. Nicole Barbara Jensen, D.C.

Title

President

Phone

(267) 374-8788

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

• Back in Line Chiropractic and Wellness Center, PC Rehabilitation Hospital Unit · Easton, PA · NPI 1316211865
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Nicole Barbara Johnston, D.C. Chiropractor · Easton, PA · NPI 1558433060
  NPD CHIROPRACTOR

National Provider Directory

Tax ID family

Back in Line Chiropractic and Wellness Center (2 organizations share this tax ID)

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 17, 2010.

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1274054400000",
    "number": "1760700652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "684 CORNERSTONE DR",
            "city": "MOHRSVILLE",
            "state": "PA",
            "postal_code": "195419256",
            "telephone_number": "267-374-8788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 ROUTE 309",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189511805",
            "telephone_number": "267-374-8788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK IN LINE CHIROPRACTIC AND WELLNESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "267-374-8788",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "PA",
            "license": "DC009700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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