Provider Demographics
NPI:1033421151
Name:BACK TO HEALTH CHIROPRACTIC & WELLNESS CARE, PC
Entity type:Organization
Organization Name:BACK TO HEALTH CHIROPRACTIC & WELLNESS CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:KREYMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:917-776-4427
Mailing Address - Street 1:506 HAMBURG TPKE STE 202
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2069
Mailing Address - Country:US
Mailing Address - Phone:973-595-1809
Mailing Address - Fax:973-807-9355
Practice Address - Street 1:506 HAMBURG TPKE STE 202
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2069
Practice Address - Country:US
Practice Address - Phone:973-595-1809
Practice Address - Fax:973-807-9355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-06
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty