Provider Demographics
NPI:1891099735
Name:BACK IN MOTION, PLLC
Entity Type:Organization
Organization Name:BACK IN MOTION, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CARLOS
Authorized Official - Middle Name:
Authorized Official - Last Name:PEREZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:603-540-4770
Mailing Address - Street 1:4 JOHN TYLER ST STE E
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-4800
Mailing Address - Country:US
Mailing Address - Phone:603-540-4770
Mailing Address - Fax:603-782-4161
Practice Address - Street 1:4 JOHN TYLER ST STE E
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-4800
Practice Address - Country:US
Practice Address - Phone:603-540-4770
Practice Address - Fax:603-782-4161
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-07
Last Update Date:2011-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6880503111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty