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.
|Practice Location|| 165 S Memorial Hwy, Trucksville, PA 18708-1418, US |
|Practice Location Phone||570-696-4348|
|Practice Location Fax|
|Legal Business Name||BACK MOUNTAIN NEURODIAGNOSTICS, PC|
|Enumeration Date ? ||Apr 20, 2007|
|Last Update Date ? ||Oct 4, 2007|
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
Specialties & Licenses of Back Mountain Neurodiagnostics, Pc
|Specialty||Provider Type||Specialization||License||License State|
|Chiropractor||Chiropractic Providers||Neurology ||DC007819L||Pennsylvania|
|Chiropractor||Chiropractic Providers||Neurology ||DC009260||Pennsylvania|
Legacy Provider IDs of Back Mountain Neurodiagnostics, Pc
|Provider Id||Issuer State||Issuer Type||Issuer|
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/Position||PRESIDENT|
|Authorized Official Phone Number||570-696-4348|