Organization
BACK WORKS UNLTD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL E HOLMAN DC (PRESIDENT)
(509) 493-2882
Entity
Organization
Contact information
Practice address
1000 W STEUBEN ST, BINGEN, WA 98605
(509) 493-2882
(509) 493-2882
Mailing address
2149 CASCADE AVE STE 208, HOOD RIVER, OR 97031-1087
(509) 493-2882
(509) 493-2882
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407862
BLUE CROSS BLUE SHIELD
WA
01
—
14971
LABOR & INDUSTRIES
WA
Enumeration date
03/22/2007
Last updated
10/12/2007
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