# BACK & NECK CLINIC OF MADISON INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trice Chiropractic Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275602500
- **Authorized official:** DR. RANDY D TRICE DC (OWNER CEO)
- **Authorized official phone:** (440) 428-2565

## Contact information

- **Practice address:** 6227 N RIDGE RD, MADISON, OH 44057-2570
- **Practice address phone:** (440) 428-2565
- **Practice address fax:** (440) 417-0192
- **Mailing address:** 6227 N RIDGE RD, MADISON, OH 44057-2570
- **Mailing address phone:** (440) 428-2565
- **Mailing address fax:** (440) 417-0192

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1466 | OH | Yes |

## Other

- **Enumeration date:** 11/08/2006
- **Last updated:** 08/17/2018