Provider Demographics
NPI:1215050695
Name:BACK2HEALTH, LLC
Entity type:Organization
Organization Name:BACK2HEALTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNERDOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:ALLEN
Authorized Official - Last Name:SNIDER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:812-882-1241
Mailing Address - Street 1:1830 HART ST
Mailing Address - Street 2:PO BOX 751
Mailing Address - City:VINCENNES
Mailing Address - State:IN
Mailing Address - Zip Code:47591-5505
Mailing Address - Country:US
Mailing Address - Phone:812-882-1241
Mailing Address - Fax:812-882-1244
Practice Address - Street 1:1830 HART ST
Practice Address - Street 2:
Practice Address - City:VINCENNES
Practice Address - State:IN
Practice Address - Zip Code:47591-5505
Practice Address - Country:US
Practice Address - Phone:812-882-1241
Practice Address - Fax:812-882-1244
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-09
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty