Organization
BACK TO HEALTH CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICK KEITH WHITE DC (OWNER)
(608) 788-7880
Entity
Organization
Contact information
Practice address
1605 LOSEY BLVD S, LA CROSSE, WI 54601-6151
(608) 788-7880
(608) 788-2920
Mailing address
1605 LOSEY BLVD S, LA CROSSE, WI 54601-6151
(608) 788-7880
(608) 788-2920
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3736012
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
38932300
—
WI
Enumeration date
07/20/2007
Last updated
07/20/2007
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