BACK TO LIFE LLC (NPI# 1093038010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093038010 |
| Entity Type | Organization |
| Organization Name | BACK TO LIFE LLC |
| Practice Address |
3 Elmwood Rd Hancock NH 03449-5629 |
| Practice Telephone | 6035253335 |
| Practice Fax Number | 8666115548 |
| Mailing Telephone | 6035253335 |
| Mailing Fax Number | 8666615548 |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2020-01-10 |
| Authorized Official Name | DR. STEPHANIE J CLARK (PRESIDENT) |
| Authorized Official Telephone | 6035253335 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 8450809 | NH | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NH | MEDICARE PTAN | 0019271 | 01 |
| NH | BCBS | 08132071 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063063014 | Back To Life LLC | Home Health | 305 E 1st St, Malvern, IA 51551-8008 | 2019-09-21 |
| 1356621700 | Back To Life LLC | Chiropractor | 2323 Ne 26th Ave, Pompano Beach, FL 33062-1147 | 2011-08-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | BACK TO LIFE LLC | 360 Naugatuck Ave., Milford, CT 06461 |
| Colorado Business Entities | Back to Life LLC | 7203 Arkansas St, Frederick, CO 80530 |
| Street Address |
3 ELMWOOD RD |
| City | HANCOCK |
| State | NH |
| Zip Code | 03449-5629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851395453 | Stephanie Clark | Chiropractor | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2005-06-10 |
| 1558703538 | Deborah Jean Clark | Specialist | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2013-07-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942548680 | Maryanne Bates | Pharmacist | 83 North Rd, Hancock, NH 03449-5511 | 2013-01-30 |
| 1104354364 | Elizabeth Cohen | Occupational Therapist | 16 Quinn Rd, Hancock, NH 03449-5618 | 2017-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423161 | Nicole Ubinger | Social Worker | 1233 Anthony St, Hancock, MI 49930-1004 | 2020-09-23 |
| 1821644253 | Craig Wesley Hatcher | Pharmacist | 343 N. Pennsylvania Ave., Hancock, MD 21750 | 2019-08-12 |
| 1679047278 | Margiejo D Packham | Registered Nurse | 109 W Memorial Dr, Hancock, MI 49931 | 2019-01-16 |
| 1437627643 | Karen Byrnes | Registered Nurse | Hancock Va Cboc, 787 Market St. Suite 9, Hancock, MI 49930 | 2018-11-06 |
| 1669968731 | Erin Jeanine Carter | Health Educator | 1500 Birch St, Hancock, MI 49930-1052 | 2018-07-02 |
| 1891284618 | Kneetix Mobile Pain Therapy | Clinic/Center | 2732 Roods Creek Rd Bldg 27, Hancock, NY 13783-1861 | 2018-05-07 |
| 1366949455 | Nathan Larson | Preventive Medicine | 601 Quincy St., Athletics / Paavo Nurmi Gym, Hancock, MI 49930-4993 | 2018-04-06 |
| 1821596768 | Renee Elizabeth O'neill | Advanced Practice Midwife | 506 Campus Dr, Hancock, MI 49930-1569 | 2018-01-25 |
| 1710406707 | Guardian Flight LLC | Ambulance | 1212 E Atlantic St, Hancock, MI 49930-1415 | 2017-09-12 |
| 1881117562 | Angelica Monique Nunez | Specialist/Technologist | 601 Quincy St, Hancock, MI 49930 | 2017-07-25 |
| Find all providers in HANCOCK | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083159131 | Jennifer Marie Vine | Chiropractor | 581 6th St, Hancock, MN 56244-2073 | 2016-12-28 |
| 1528374469 | David John Campain | Chiropractor | 841 Summit St, Hancock, MI 49930-1528 | 2010-08-30 |
| 1114907342 | Davin Andrew Isaacson | Chiropractor | 101 E Quincy St, Suite 3, Hancock, MI 49930-2167 | 2006-01-23 |
| 1154301406 | James F Peterson | Chiropractor | 424 Quincy St, Hancock, MI 49930-1829 | 2006-01-20 |
| 1851395453 | Stephanie Clark | Chiropractor | 3 Elmwood Rd, Hancock, NH 03449-5629 | 2005-06-10 |
| 1952550170 | Discover Chiropractic U.p., Pllc | Chiropractor | 101 E Quincy St, Suite 3, Hancock, MI 49930-2167 | 2008-09-11 |
| 1528251998 | Colette Sue Deschamps | Chiropractor | 239 W Main St, Hancock, MD 21750-1302 | 2007-08-20 |
| 1588733158 | Harmony Chirorapctic, LLC | Chiropractor | 125 W Main St, Hancock, MD 21750-1416 | 2006-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093312423 | Pelham Family Chiropractic, LLC | Chiropractor | 71 Bridge St, Pelham, NH 03076-3479 | 2020-10-08 |
| 1255947636 | Optimum Health & Performance | Chiropractor | 116 S River Rd Unit F, Bedford, NH 03110-6734 | 2020-09-21 |
| 1265048524 | Kelly Wrathall | Chiropractor | 11 Saint James Pl Apt 1117, Nashua, NH 03062-2641 | 2020-09-21 |
| 1821623877 | Functional Health Clinic LLC | Chiropractor | 30 Exeter Pl, Laconia, NH 03246-2058 | 2020-03-10 |
| 1821637026 | Molly Anna Pepin | Chiropractor | 103 Hanover St Ste 14, Lebanon, NH 03766-1098 | 2020-01-06 |
| 1982252292 | Alisha Freydenfeldt | Chiropractor | 17 Chenell Dr Ste 2, Concord, NH 03301-8539 | 2019-08-29 |
| 1881242683 | Mikayla Storm Eldridge | Chiropractor | 17a Tatro Rd Ste 101, Goffstown, NH 03045-2370 | 2019-08-27 |
| 1467911305 | Lakeview Chiropractic and Wellness Pllc | Chiropractor | 290 Daniel Webster Hwy # 2a, Meredith, NH 03253-5806 | 2019-03-19 |
| 1154893832 | Hs1 LLC | Chiropractor | 545 Hooksett Rd Unit 20, Manchester, NH 03104-2654 | 2018-12-19 |
| 1700367653 | George Jumpp | Chiropractor | 43 Main St Apt 1, Dover, NH 03820-6801 | 2018-08-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.