Back to Basics Chiropractic, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

2301009799 Issued in MI

Legal business name

BACK TO BASICS CHIROPRACTIC, LLC

Practice address

80 1St St
Laurium, MI 49913-2067

Phone

(906) 337-1200

Fax

(906) 337-1201

NPI assigned

May 19, 2011

Organization subpart

No

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

Authorized official

Name

Leah Polzien, D.C.

Title

Owner/Doctor

Phone

(906) 337-1200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1305763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305763200000",
    "number": "1912290289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132067",
            "telephone_number": "906-337-1200",
            "fax_number": "906-337-1201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 1ST ST",
            "city": "LAURIUM",
            "state": "MI",
            "postal_code": "499132067",
            "telephone_number": "906-337-1200",
            "fax_number": "906-337-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BACK TO BASICS CHIROPRACTIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-19",
        "last_updated": "2011-05-19",
        "status": "A",
        "authorized_official_last_name": "POLZIEN",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "906-337-1200",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Laurium, MI
• Chiropractor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2011; 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.