Organization
BACK PAIN AND HEADACHE CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J KOPELOVE DC (PRESIDENT)
(301) 654-0911
Entity
Organization
Contact information
Practice address
6708 WISCONSIN AVE, SUITE 206 3RD FL, CHEVY CHASE, MD 20815-5300
(301) 654-0911
(301) 654-1658
Mailing address
6708 WISCONSIN AVE, SUITE 206 3RD FL, CHEVY CHASE, MD 20815-5300
(301) 654-0911
(301) 654-1658
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1652
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LU65
PROVIDER NUMBER
—
01
—
S8310001
BLUE CROSS
—
Enumeration date
12/19/2006
Last updated
03/04/2008
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