OrganizationBroadway Neck And Back, IncChiropractorChiropractic ProvidersPractice Address5437 Broadway, Merrillville, IN 46410-1647(219) 980-3509PECOS EnrollmentBased on the most recent information from CMS, provider Broadway Neck And Back, Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1649503442Provider TypeOrganizationFull NameBroadway Neck And Back, IncSubpartNoEnumeration Date9/10/2009Last Updated9/10/2009Contact InformationPractice LocationPractice Address5437 Broadway, Merrillville, IN 46410-1647Phone(219) 980-3509FaxUnlisted FaxMailing LocationMailing Address5437 Broadway, Merrillville, IN 46410-1647PhoneUnlisted PhoneFaxUnlisted FaxAuthorized OfficialNameBennett, Charles (Chiropractor)Phone(316) 461-8397Provider TaxonomiesCodeDescriptionLicenseCode111N00000XPrimaryDescriptionChiropractorChiropractic ProvidersLicenseUnlisted Issuer