| Backbone, Llc | |
|
7108 Pioneer Way Ste A Gig Harbor WA 98335-1178 | |
| (253) 858-2474 | |
| Not Available |
| Full Name | Backbone, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 7108 Pioneer Way Ste A, Gig Harbor, Washington |
| Authorized Official Name and Position | Christian Cohen (DOCTOR) |
| Authorized Official Contact | 2538582474 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Backbone, Llc 7108 Pioneer Way Ste A Gig Harbor WA 98335-1178 Ph: (253) 858-2474 | Backbone, Llc 7108 Pioneer Way Ste A Gig Harbor WA 98335-1178 Ph: (253) 858-2474 |
| NPI Number | 1396931705 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/25/2009 |
| Medicare PECOS PAC ID | 6709971724 |
|---|---|
| Medicare Enrollment ID | O20071004000677 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396931705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | CH 00034304 (Washington) | Primary |
| Provider Name | Christian A Cohen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1033274493 PECOS PAC ID: 9537152111 Enrollment ID: I20040417000606 |
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