Organization
THE BACK CARE SHOP, INC. DBA BIOWORKS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE BRILL (VICE PRESIDENT)
(513) 793-7335
Entity
Organization
Contact information
Practice address
2960 MACK RD, SUITE 100, FAIRFIELD, OH 45014-5373
(513) 874-1939
(513) 874-0169
Mailing address
7791 COOPER RD, SUITE H, CINCINNATI, OH 45242-7734
(513) 793-7335
(513) 985-3865
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0575408
—
OH
05
—
9025425100
—
KY
Enumeration date
01/15/2010
Last updated
01/15/2010
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