| Back Pain Center, Inc. | |
|
2516 Mascoutah Ave Belleville IL 62220-3468 | |
| (618) 233-4200 | |
| (618) 233-3428 |
| Full Name | Back Pain Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 2516 Mascoutah Ave, Belleville, Illinois |
| Authorized Official Name and Position | Jason Christopher Walker (OWNER) |
| Authorized Official Contact | 6182334200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Back Pain Center, Inc. 2516 Mascoutah Ave Belleville IL 62220-3468 Ph: (618) 233-4200 | Back Pain Center, Inc. 2516 Mascoutah Ave Belleville IL 62220-3468 Ph: (618) 233-4200 |
| NPI Number | 1285600247 |
|---|---|
| Provider Enumeration Date | 02/28/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285600247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
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