Organization
BACK & NECK CARE CENTER LLC
Active
Other names
Multi-Care Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINCENT MITCHELL DC (MEMBER-CHIROPRACTOR)
(228) 385-0088
Entity
Organization
Contact information
Practice address
2699 PASS RD, BILOXI, MS 39531-2633
(228) 385-0088
Mailing address
2699 PASS RD, BILOXI, MS 39531-2633
(228) 385-0088
(228) 385-0099
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0954
MS
207R00000X
Internal Medicine Physician
12792
MS
363LF0000X
Family Nurse Practitioner
R690392
MS
363LF0000X
Family Nurse Practitioner
R871245
MS
367500000X
Certified Registered Nurse Anesthetist
R864120
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C03625
GROUP MEDICARE
—
Enumeration date
03/18/2007
Last updated
08/11/2021
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