Provider Demographics
NPI:1487729661
Name:BACK & NECK TREATMENT CENTER INC
Entity type:Organization
Organization Name:BACK & NECK TREATMENT CENTER INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:D
Authorized Official - Last Name:GIAMPA
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:617-413-7972
Mailing Address - Street 1:935 WASHINGTON ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062
Mailing Address - Country:US
Mailing Address - Phone:781-769-6791
Mailing Address - Fax:781-255-0633
Practice Address - Street 1:935 WASHINGTON ST
Practice Address - Street 2:1ST FLOOR
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062
Practice Address - Country:US
Practice Address - Phone:781-551-8283
Practice Address - Fax:781-551-8292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA68111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty