| Back In Line Chiropractic Rehab Center | |
|
2901 E Katella Ave, Suite H, Orange, CA 92867-5248 | |
| (714) 633-2225 | |
| Not Available |
| Full Name | Back In Line Chiropractic Rehab Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Rehabilitation |
| Location | 2901 E Katella Ave, Orange, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215116033 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NR0400X | Chiropractor - Rehabilitation | 19846 (California) | Primary |
| Provider Name | Stephen D Iversen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1245345925 PECOS PAC ID: 7214965649 Enrollment ID: I20050728000332 |
| Mailing Address | Practice Location Address |
|---|---|
| Back In Line Chiropractic Rehab Center 2901 E Katella Ave, Suite H, Orange, CA 92867-5248 Ph: (714) 633-2225 | Back In Line Chiropractic Rehab Center 2901 E Katella Ave, Suite H, Orange, CA 92867-5248 Ph: (714) 633-2225 |
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