Organization
BACKDOC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN W KRAUSE DC (OWNER)
(803) 345-5462
Entity
Organization
Contact information
Practice address
510 COLUMBIA AVENUE, CHAPIN, SC 29036
(803) 345-0334
(803) 345-0335
Mailing address
510 COLUMBIA AVENUE, CHAPIN, SC 29036
(803) 345-0334
(803) 345-0335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CH1078
—
SC
Enumeration date
01/30/2014
Last updated
01/30/2014
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