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Contact Information

BALANCED CHIROPRACTIC LLC
6729 LAKE RD
WINDSOR, WI53598-9701
 Phone: 812-212-2043
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Chiropractor

111N00000X 35 Chiropractic
Indicates primary specialty

NPI Profile & details for BALANCED CHIROPRACTIC LLC

NPI Number 1710437652
LBN Legal business name BALANCED CHIROPRACTIC LLC
Authorized official JEREMY QUICK - (OWNER/CHIROPRACTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 10/04/2016
Last updated 11/04/2021 - About 5 years ago
Identifiers
WI License # 5116-12
WI Other 1710437652 NPI
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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