National Provider Identifier Database

BALANCED CHIROPRACTIC LLC
Chiropractor

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.


Contact Information

BALANCED CHIROPRACTIC LLC
6729 LAKE RD
WINDSOR, WI53598-9701
Phone: 812-212-2043
Fax:
Website:
Specialty Taxonomy Code
* Chiropractor 111N00000X

* Indicates primary specialty

NPI Profile & details for BALANCED CHIROPRACTIC LLC

NPI Number 1710437652
Legal business name
LBN
BALANCED CHIROPRACTIC LLC
Authorized official JEREMY QUICK - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart No
Enumeration date 10/04/2016
Last updated 11/04/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers
  • WI License #: 5116-12
  • WI Other: 1710437652 NPI

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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