Provider Demographics
NPI:1942397179
Name:BACK TO HEALTH CHIROPRACTIC
Entity Type:Organization
Organization Name:BACK TO HEALTH CHIROPRACTIC
Other - Org Name:THE CHIROPRACTORS AT TORINGDON
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:CATALINE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:704-544-1620
Mailing Address - Street 1:3520 TORINGDON WAY STE 101
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28277-2421
Mailing Address - Country:US
Mailing Address - Phone:704-544-1620
Mailing Address - Fax:704-544-1627
Practice Address - Street 1:3520 TORINGDON WAY STE 101
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28277-2421
Practice Address - Country:US
Practice Address - Phone:704-544-1620
Practice Address - Fax:704-544-1627
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2598111N00000X
NC2695111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty