Organization
BACK HOME CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL LENTZ DC (OWNER)
(417) 844-4421
Entity
Organization
Contact information
Practice address
106 W OLD MILL RD, FAIR GROVE, MO 65648-8646
(417) 567-2001
Mailing address
PO BOX 434, FAIR GROVE, MO 65648-0434
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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