| Backcare Family Chiropractic, Llc | |
|
351 W Central Ave, Delaware, OH 43015-1476 | |
| (614) 539-0405 | |
| (614) 539-0554 |
| Full Name | Backcare Family Chiropractic, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 351 W Central Ave, Delaware, Ohio |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508121435 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 2706 (Ohio) | Primary |
| Provider Name | Stephen S Wallace |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1053620591 PECOS PAC ID: 6103013313 Enrollment ID: I20101214000025 |
| Mailing Address | Practice Location Address |
|---|---|
| Backcare Family Chiropractic, Llc 351 W Central Ave, Delaware, OH 43015-1476 Ph: (614) 539-0405 | Backcare Family Chiropractic, Llc 351 W Central Ave, Delaware, OH 43015-1476 Ph: (614) 539-0405 |
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