BALANCED SPINE & WELLNESS LLC NPI 1033778451

NPI Information

NPI: 1033778451
Provider Name: BALANCED SPINE & WELLNESS, LLC

Doing Business As: BALANCED SPINE & WELLNESS, LLC

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
6705 W 41ST ST
SIOUX FALLS, SD
ZIP 57106
Phone: (605) 636-5013
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BALANCED SPINE & WELLNESS, LLC is a health service clinic center in Sioux Falls, SD. BALANCED SPINE & WELLNESS, LLC NPI is 1033778451. The provider is registered as an organization entity type.
The provider Is Doing Business As Balanced Spine & Wellness, Llc.

The provider's business location address is:

6705 W 41ST ST
SIOUX FALLS, SD
ZIP 57106-290
Phone: (605) 636-5013
Fax: (202) 967-2307

The provider's authorized official is Telishia Devericks .
The authorized official title is Owner/doctor and has the following contact phone number (605) 681-4173.

The enumeration date for this NPI number is 6/10/2019 and was last updated on 7/12/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1528419462	OTHER	SOUTH DAKOTA	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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