Organization
BACK NORTH CHIROPRACTIC CARE PLC
Active
Other names
Back North Chiropractic Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL S WEBER D.C. (OWNER/MEMBER)
(802) 652-0015
Entity
Organization
Contact information
Practice address
1127 NORTH AVE, STE 21, BURLINGTON, VT 05401-2756
(802) 652-0015
(802) 652-0016
Mailing address
1127 NORTH AVE, STE 21, BURLINGTON, VT 05401-2756
(802) 652-0015
(802) 652-0016
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
006-0001138
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4352646
CIGNA
VT
01
—
98L1880
LANDMARK
VT
01
—
BACK68321
BCBSVT
VT
05
—
OVN3537
—
VT
Enumeration date
06/21/2005
Last updated
08/22/2020
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