Organization
BACK PAIN CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
APRIL COLE (PRACTICE MANAGER)
(636) 978-5511
Entity
Organization
Contact information
Practice address
2530 HIGHWAY K, O FALLON, MO 63368-6625
(636) 978-5511
(888) 351-2941
Mailing address
2530 HIGHWAY K, O FALLON, MO 63368-6625
(636) 978-5511
(888) 351-2941
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2000146684
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500088623
—
MO
Enumeration date
04/14/2007
Last updated
12/29/2022
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