Provider Demographics
NPI:1104043389
Name:BACK CARE OF TOLEDO, LLC
Entity Type:Organization
Organization Name:BACK CARE OF TOLEDO, LLC
Other - Org Name:DUNNE CHIROPRACTIC, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:DUNNE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:419-472-3070
Mailing Address - Street 1:3001 W SYLVANIA AVE
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43613-4134
Mailing Address - Country:US
Mailing Address - Phone:419-472-3070
Mailing Address - Fax:
Practice Address - Street 1:3001 W SYLVANIA AVE
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43613-4134
Practice Address - Country:US
Practice Address - Phone:419-472-3070
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2100111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHBA9346201Medicare PIN