# BACK PAIN CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285600247
- **Authorized official:** DR. JASON CHRISTOPHER WALKER D.C. (OWNER)
- **Authorized official phone:** (618) 233-4200

## Contact information

- **Practice address:** 2516 MASCOUTAH AVE, BELLEVILLE, IL 62220-3468
- **Practice address phone:** (618) 233-4200
- **Practice address fax:** (618) 233-3428
- **Mailing address:** 2516 MASCOUTAH AVE, BELLEVILLE, IL 62220-3468
- **Mailing address phone:** (618) 233-4200
- **Mailing address fax:** (618) 233-3428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/28/2006
- **Last updated:** 08/22/2020