Back Mountain Neurodiagnostics, Pc

LBN: Back Mountain Neurodiagnostics, Pc
Back Mountain Neurodiagnostics, Pc is an health care organization with primary practice located at 165 S Memorial Hwy , Trucksville PA 18708-1418. The organization recently has only one registered license in Chiropractic Providers / Neurology, which is considered as the primary health care specialty. Back Mountain Neurodiagnostics, Pc can be contacted via phone (570) 696-4348, or through Morris, Mark Evan via phone (570) 696-4348.

Contact Information

Primary practice address
165 S Memorial Hwy Trucksville PA 18708-1418
Phone: (570) 696-4348
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Morris, Mark Evan
Phone: (570) 696-4348

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Neurology 111NN0400X DC007819L Pennsylvania
Chiropractic Providers / Neurology 111NN0400X DC009260 Pennsylvania

Profile Details

NPI number 1548487218
LBN Legal business name Back Mountain Neurodiagnostics, Pc
DBA Doing business as
Authorized official Morris, Mark Evan
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 2007
Last updated Oct 4th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548487218 NPPES
Pennsylvania Other BA1689016 GROUPBCBS

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