| Backhaus Chiropractic Pllc | |
| 
					1407 5th Ave Ste 200 Belle Fourche SD 57717-2052  | |
| (605) 723-3434 | |
| Not Available | 
| Full Name | Backhaus Chiropractic Pllc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 1407 5th Ave Ste 200, Belle Fourche, South Dakota | 
| Authorized Official Name and Position | Colton A Backhaus (OWNER) | 
| Authorized Official Contact | 7014264579 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Backhaus Chiropractic Pllc 1407 5th Ave Ste 200 Belle Fourche SD 57717-2052 Ph: (605) 723-3434  | Backhaus Chiropractic Pllc 1407 5th Ave Ste 200 Belle Fourche SD 57717-2052 Ph: (605) 723-3434  | 
| NPI Number | 1750106159 | 
|---|---|
| Provider Enumeration Date | 11/20/2024 | 
| Last Update Date | 11/20/2024 | 
| Medicare PECOS PAC ID | 6103351754 | 
|---|---|
| Medicare Enrollment ID | O20241120000752 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1750106159 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary | 
| Provider Name | Colton Backhaus | 
|---|---|
| Provider Type | Practitioner - Chiropractic | 
| Provider Identifiers | NPI Number: 1356055693 PECOS PAC ID: 5193259844 Enrollment ID: I20241118000987  | 
Regional Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 13th Ave, Belle Fourche, SD 57717 Phone: 605-892-2701 Fax: 605-723-0210  | |
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Regional Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1409 5th Ave, Belle Fourche, SD 57717 Phone: 605-723-0045  | |
Regional Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 13th Ave, Belle Fourche, SD 57717 Phone: 605-892-2701  | |
Regional Health Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2200 13th Ave, Belle Fourche, SD 57717 Phone: 605-892-2701  | |
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