Provider Demographics
NPI:1902956402
Name:BIBC, INC
Entity Type:Organization
Organization Name:BIBC, INC
Other - Org Name:BACK IN BALANCE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:A
Authorized Official - Last Name:BABIN-GOODEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-947-8077
Mailing Address - Street 1:16 PENN PLZ
Mailing Address - Street 2:SUITE 22
Mailing Address - City:BANGOR
Mailing Address - State:ME
Mailing Address - Zip Code:04401-3620
Mailing Address - Country:US
Mailing Address - Phone:207-947-8077
Mailing Address - Fax:
Practice Address - Street 1:16 PENN PLZ
Practice Address - Street 2:SUITE 22
Practice Address - City:BANGOR
Practice Address - State:ME
Practice Address - Zip Code:04401-3620
Practice Address - Country:US
Practice Address - Phone:207-947-8077
Practice Address - Fax:207-947-3721
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2019-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECR1314111N00000X
171100000X, 208100000X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty