Provider Demographics
NPI:1518002880
Name:BACK TO HEALTH
Entity Type:Organization
Organization Name:BACK TO HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALEXANDER
Authorized Official - Middle Name:R
Authorized Official - Last Name:CONCEPCION
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:808-235-0729
Mailing Address - Street 1:45-696 KAMEHAMEHA HWY
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2034
Mailing Address - Country:US
Mailing Address - Phone:808-235-0729
Mailing Address - Fax:808-263-3958
Practice Address - Street 1:45-696 KAMEHAMEHA HWY
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2034
Practice Address - Country:US
Practice Address - Phone:808-235-0729
Practice Address - Fax:808-263-3958
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-21
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty