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Back Mountain Neurodiagnostics, Pc

Back Mountain Neurodiagnostics, Pc is a health care provider in Trucksville, PA. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 165 S Memorial Hwy, Trucksville, PA 18708-1418, US
Practice Location Phone570-696-4348
Practice Location Fax
Legal Business NameBACK MOUNTAIN NEURODIAGNOSTICS, PC
NPI ?1548487218
Entity TypeOrganization
Enumeration Date ? Apr 20, 2007
Last Update Date ? Oct 4, 2007
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Back Mountain Neurodiagnostics, Pc

SpecialtySpecializationLicenseLicense State
ChiropractorNeurology DC007819LPennsylvania
ChiropractorNeurology DC009260Pennsylvania

legacy-id-icon Legacy Provider IDs of Back Mountain Neurodiagnostics, Pc

Provider IdIssuer StateIssuer TypeIssuer
BA1689016PennsylvaniaOtherGROUPBCBS

official-icon Authorized Official of Back Mountain Neurodiagnostics, Pc

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Back Mountain Neurodiagnostics, Pc's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Mark Evan Morris
Authorized Official Title/PositionPRESIDENT
Authorized Official Phone Number570-696-4348