Organization
BACK CARE OF SPIRIT LAKE, INC.
Active
Organization
BACK CARE OF SPIRIT LAKE, INC.
Active
Other names
Back Care, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY J. SHELL (CLINIC ADMINISTRATOR)
(712) 336-5311
Entity
Organization
Contact information
Practice address
2309 23RD ST., SPIRIT LAKE, IA 51360-0342
(712) 336-5320
(712) 336-0020
Mailing address
2309 23RD ST., SPIRIT LAKE, IA 51360-0342
(712) 336-5320
(712) 336-0020
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0496174
—
IA
Enumeration date
04/11/2006
Last updated
11/15/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up