Organization
BACK 2 BACK CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMIE D REED D.C. (MEMBER)
(570) 797-1000
Entity
Organization
Contact information
Practice address
RR 1 BOX 458, SHAMOKIN, PA 17872-9721
(570) 797-1000
(570) 797-4977
Mailing address
RR 1 BOX 458, SHAMOKIN, PA 17872-9721
(570) 797-1000
(570) 797-4977
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC 008791
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101192963-001
—
PA
01
—
RE1596111
BLUE CROSS BLUE SHIELD
PA
Enumeration date
07/20/2005
Last updated
08/22/2020
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