Organization
BACK TO HEALTH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAD ALAN FOSTER D.C (OWNER)
(419) 238-6686
Entity
Organization
Contact information
Practice address
1015 S 11TH ST, DECATUR, IN 46733-2164
(260) 728-4194
(260) 728-4195
Mailing address
10963 VAN WERT DECATUR RD, VAN WERT, OH 45891-9211
(419) 238-6686
(419) 238-6201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
08002260A
IN
111N00000X
Chiropractor
8002146A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164450896
NPI
—
01
—
1649215021
NPI
—
01
—
1932203379
NPI
—
Enumeration date
09/20/2006
Last updated
08/22/2020
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