Balance Chiropractic Center, Llc

LBN: Balance Chiropractic Center, Llc
Balance Chiropractic Center, Llc is an health care organization with primary practice located at 10033 N Port Washington Rd Suite 100, Mequon WI 53092-5799. The organization recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as the primary health care specialty. Balance Chiropractic Center, Llc can be contacted via phone (262) 240-0136, or through Ghojallu, Hutan via phone (262) 240-0136.

Contact Information

Primary practice address
10033 N Port Washington Rd Suite 100 Mequon WI 53092-5799
Fax: (262) 240-0139
Website:
Authorized official contact:
Name: Ghojallu, Hutan Doctor of Chiropractic (DC)

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 3228 Wisconsin

Profile Details

NPI number 1427159805
LBN Legal business name Balance Chiropractic Center, Llc
DBA Doing business as
Authorized official Ghojallu, Hutan Doctor of Chiropractic (DC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Jan 16th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427159805 NPPES
Wisconsin MEDICAID 38893100

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