Back To Health Wellness Clinic

LBN: Crisman Dixon & Associates, P.C.
Back To Health Wellness Clinic is an health care organization with primary practice located at 343 Quincy St Suite 100, Rapid City SD 57701-3700. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Crisman Dixon & Associates, P.C. can be contacted via phone (605) 718-7312, or through Crisman, Bruce Alvin via phone (605) 718-7312.

Contact Information

Primary practice address
343 Quincy St Suite 100 Rapid City SD 57701-3700
Phone: (605) 718-7312
Fax: (605) 718-9008
Website:
Map and Directions
Authorized official contact:
Name: Crisman, Bruce Alvin Doctor of Chiropractic (DC)
Phone: (605) 718-7312

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X 774 South Dakota

Profile Details

NPI number 1760597116
LBN Legal business name Crisman Dixon & Associates, P.C.
DBA Doing business as Back To Health Wellness Clinic
Authorized official Crisman, Bruce Alvin Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 19th, 2006
Last updated Mar 20th, 2008 - about 18 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 1760597116 NPPES
South Dakota MEDICAID 7600534

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