Organization
BACK TO HEALTH CHIROPRACTIC CLINIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LIPPS (PRESIDENT)
(814) 382-7782
Entity
Organization
Contact information
Practice address
10889 PLUM ST., HARMONSBURG, PA 16422-0366
(814) 382-7782
(814) 382-7782
Mailing address
PO BOX 366, HARMONSBURG, PA 16422-0366
(814) 382-7782
(814) 382-7782
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC008870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019424700002
—
PA
Enumeration date
11/21/2006
Last updated
08/22/2020
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