Provider Demographics
NPI:1447401344
Name:BACK PAIN CLINIC II, P.A.
Entity Type:Organization
Organization Name:BACK PAIN CLINIC II, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:ZBOYOVSKI
Authorized Official - Suffix:SR
Authorized Official - Credentials:DC
Authorized Official - Phone:828-254-1099
Mailing Address - Street 1:7 BEAVERDAM RD
Mailing Address - Street 2:SUITES 1 & 2
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28804-2552
Mailing Address - Country:US
Mailing Address - Phone:828-254-1099
Mailing Address - Fax:828-254-1127
Practice Address - Street 1:7 BEAVERDAM RD
Practice Address - Street 2:SUITES 1 & 2
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28804-2552
Practice Address - Country:US
Practice Address - Phone:828-254-1099
Practice Address - Fax:828-254-1127
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-09
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC971111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89085J1Medicaid
NCT64577OtherUPIN
NC08236OtherBLUE CROSS BLUE SHIELD
NCT64577OtherUPIN