The Back Shack Llc

LBN: The Back Shack Llc
The Back Shack Llc is an health care organization with primary practice located at 6740 James B Rivers Dr , Stone Mountain GA 30083-2235. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. The Back Shack Llc can be contacted via phone (404) 775-9642, or through Feschuk, David via phone (404) 775-9642.

Contact Information

Primary practice address
6740 James B Rivers Dr Stone Mountain GA 30083-2235
Phone: (404) 775-9642
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Feschuk, David
Phone: (404) 775-9642

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CHIR006338 Georgia

Profile Details

NPI number 1003051343
LBN Legal business name The Back Shack Llc
DBA Doing business as
Authorized official Feschuk, David
Entity Organization
Organization subpart 1 No
Enumeration date Dec 15th, 2008
Last updated Apr 23rd, 2013 - about 13 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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