NPI 1417370180 · live from the CMS NPI Registry
Backdoc, LLC
Chiropractor in Chapin, SC. National Provider Identifier 1417370180, active.
NPI record
| NPI | 1417370180 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Chiropractor 111N00000X |
| Practice location | 510 Columbia Avenue, Chapin, SC 29036 |
| Practice phone | 803-345-0334 |
| Enumerated | January 30, 2014 |
| Last updated | January 30, 2014 |
| Authorized official | Jonathan Krause, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor primary | 111N00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.