Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
BACK PAIN REHAB CENTER FOR TREATMENT OF BACK PAIN LLC
Active
Organization
BACK PAIN REHAB CENTER FOR TREATMENT OF BACK PAIN LLC
Active
Other names
BACK PAIN REHAB LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLENN N COLLAZO D.C. (DIRECTOR)
(201) 750-7246
Entity
Organization
Contact information
Practice address
12 WORTENDYKE RD, PARK RIDGE, NJ 07656-2046
(201) 750-7246
Mailing address
12 WORTENDYKE RD, PARK RIDGE, NJ 07656-2046
(201) 750-7246
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00430900
NJ
Other
Enumeration date
08/16/2011
Last updated
08/16/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up