Back Pain Rehab Center For Treatment Of Back Pain LLC
Chiropractor in Park Ridge, New Jersey
1639458094- Practice location
- 12 Wortendyke RD, Park Ridge, NJ 07656-2046
- Phone
- 201-750-7246
- Fax
- —
- Last updated
- August 16, 2011
Back Pain Rehab Center For Treatment Of Back Pain LLC is a healthcare organization based in Park Ridge, NJ. Back Pain Rehab Center For Treatment Of Back Pain LLC practices in Park Ridge, NJ. The NPI Number for Back Pain Rehab Center For Treatment Of Back Pain LLC is 1639458094 and holds a License No. 38MC00430900 (NJ). The current practice location address for Back Pain Rehab Center For Treatment Of Back Pain LLC is 12 Wortendyke RD, Park Ridge, NJ 07656-2046 and can be reached out via phone at 201-750-7246.
Provider Profile Details
- NPI Number
- 1639458094
- Provider Name
- Back Pain Rehab Center For Treatment Of Back Pain LLC
- Provider Entity Type
- Organization
- Address
- 12 Wortendyke RD, Park Ridge, NJ 07656-2046
- Phone Number
- 201-750-7246
- Primary Taxonomy
- Chiropractor · 111N00000X
- Organization Subpart
- No
- Authorized Official
- Dr. Glenn N Collazo, DC · Director · 201-750-7246
- Other Names
- Back Pain Rehab LLC (Doing Business As)
- Provider Enumeration Date
- August 16, 2011
- Last Update Date
- August 16, 2011
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 12 Wortendyke RD
Park Ridge, NJ 07656-2046 - City
- Park Ridge
- State
- New Jersey
- Zip
- 07656-2046
- Phone Number
- 201-750-7246
Provider Business Mailing Address Details
- Address
- 12 Wortendyke RD
Park Ridge, NJ 07656-2046 - City
- Park Ridge
- State
- NJ
- Zip
- 07656-2046
- Phone Number
- 201-750-7246
License Information
- License Number
- 38MC00430900
- License State
- NJ
- Taxonomy
- Chiropractor · 111N00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Back Pain Rehab Center For Treatment Of Back Pain LLC?
The NPI number of Back Pain Rehab Center For Treatment Of Back Pain LLC is 1639458094. It was assigned on August 16, 2011 and is currently active in the NPPES registry.
What is the specialty of Back Pain Rehab Center For Treatment Of Back Pain LLC?
Back Pain Rehab Center For Treatment Of Back Pain LLC is registered under the primary taxonomy Chiropractor (code 111N00000X), licensed in NJ under license number 38MC00430900.
Where does Back Pain Rehab Center For Treatment Of Back Pain LLC practice?
The practice location is 12 Wortendyke RD, Park Ridge, NJ 07656-2046. The office can be reached at 201-750-7246 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639458094 directly on the NPPES registry website.