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Contact Information

BALANCE CHIROPRACTIC CENTER, LLC
10033 N PORT WASHINGTON RD
SUITE 100
MEQUON, WI53092-5799
 Phone: 262-240-0136
 Fax: 262-240-0139
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BALANCE CHIROPRACTIC CENTER, LLC

NPI # 1427159805
LBN Legal business name BALANCE CHIROPRACTIC CENTER, LLC
Authorized official HUTAN GHOJALLU - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/26/2006
Last updated 01/16/2008 - About 18 years ago
Identifiers
WI License # 3228
WI Medicaid 38893100
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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