BACK TO LIFE NATURAL HEALTH CENTER – NPI #1073821260
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

BACK TO LIFE NATURAL HEALTH CENTER is a chiropractor located in CRYSTAL, MN. NPPES has assigned the NPI number 1073821260 to BACK TO LIFE NATURAL HEALTH CENTER on September 22, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 111N00000X from the Health Care Provider Taxonomy code set, which is classified as Chiropractor.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for BACK TO LIFE NATURAL HEALTH CENTER below.

NPI Profile for
BACK TO LIFE NATURAL HEALTH CENTER

NPI Number
1073821260
Enumeration Date

(more than 15 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
BACK TO LIFE NATURAL HEALTH CENTER
Primary location
2960 WINNETKA AVE N
SUITE 110
CRYSTAL, MN 55427
Phone: (763) 546-3736 Fax: (763) 546-3807
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RONALD LEDOUX
OWNER/PRESIDENT
Phone: (763) 546-3736
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
111N00000X
- Chiropractor (Primary)
MN 3691

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.