BACKDOC, LLC (NPI# 1417370180) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417370180 |
| Entity Type | Organization |
| Organization Name | BACKDOC, LLC |
| Practice Address |
510 Columbia Avenue Chapin SC 29036 |
| Practice Telephone | 8033450334 |
| Practice Fax Number | 8033450335 |
| Mailing Telephone | 8033450334 |
| Mailing Fax Number | 8033450335 |
| Enumeration Date | 2014-01-30 |
| Last Update Date | 2014-01-30 |
| Authorized Official Name | JONATHAN W KRAUSE (OWNER) |
| Authorized Official Telephone | 8033455462 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | CH1078 | 05 |
| Street Address |
510 COLUMBIA AVENUE |
| City | CHAPIN |
| State | SC |
| Zip Code | 29036 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295381291 | Palmetto Bone and Joint | Pain Medicine | 104 Ellett Road, Chapin, SC 29036 | 2019-08-15 |
| 1578028270 | Chapin Smiles Dentistry, PC | Dentist | 1221 Chapin Rd., Suite A, Chapin, SC 29036 | 2019-02-06 |
| 1467934810 | Cornerstone Alliance, LLC | Pharmacy | 105 Snapdragon Court Suite A, Chapin, SC 29036 | 2018-09-02 |
| 1922499011 | Chapin Oral and Maxillofacial Surgery, LLC | Dentist | 112 St. Peter's Church Road, Chapin, SC 29036 | 2015-02-10 |
| 1861892077 | Whitney Crowley | Pharmacist | 1419 Chapin Rd, Chapin, SC 29036 | 2014-08-26 |
| 1720425895 | Amanda C Harrington | Registered Nurse | 11629 Broad River Road, Chapin, SC 29036 | 2013-05-30 |
| 1396064382 | Palmetto Pediatric Ot, LLC | Clinic/Center | 2427 Old Lexington Highway, Chapin, SC 29036 | 2010-05-31 |
| 1801036959 | Nelson Chiropractic Care LLC. | Preferred Provider Organization | 1402 Chapin Rd., Chapin, SC 29036 | 2009-03-03 |
| 1700044658 | Dieter Karl Bartschat | Psychiatry & Neurology | 863 Willow Cove Rd, Chapin, SC 29036 | 2008-05-28 |
| 1346415122 | G V Long D. C. | Chiropractor | 1402 Chapin Rd, Chapin, SC 29036 | 2008-04-23 |
| Find all providers in zip 29036 | ||||
| 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 |
|---|---|---|---|---|
| 1982188629 | Palmetto Spine and Pain LLC | Chiropractor | 207 Spoonbill Ct, Chapin, SC 29036-7334 | 2018-09-19 |
| 1689193427 | Christopher George Lehmann | Chiropractor | 425c Lexington Ave, Chapin, SC 29036-8092 | 2017-09-13 |
| 1740688928 | Aleisha Ann Taylor | Chiropractor | 137 Amicks Ferry Rd Ste 101, Chapin, SC 29036-8370 | 2014-12-19 |
| 1437446911 | Healthsource Chapin Inc. | Chiropractor | 910 Chapin Rd, Unit C and D, Chapin, SC 29036-9210 | 2011-07-05 |
| 1508166356 | Stephen Andrew Stellfox | Chiropractor | 120 Smiths Ford Road, Chapin, SC 29036-8620 | 2010-10-27 |
| 1346415122 | G V Long D. C. | Chiropractor | 1402 Chapin Rd, Chapin, SC 29036 | 2008-04-23 |
| 1174573141 | Jonathan W Krause | Chiropractor | 510 Columbia Ave, Suite D, Chapin, SC 29036-9424 | 2006-05-11 |
| 1356322671 | Ralph Jim Minico Jr. | Chiropractor | 203 Amicks Ferry Rd, Suite 800, Chapin, SC 29036-8663 | 2005-11-14 |
| 1932722568 | Jackson Timothy Henning | Chiropractor | 203 Amicks Ferry Rd, Chapin, SC 29036-8663 | 2020-05-18 |
| 1114432887 | Lehmann Chiropractic, LLC | Chiropractor | 425c Lexington Ave, Chapin, SC 29036-8092 | 2017-12-04 |
| Find all providers in CHAPIN | ||||
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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.