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BALANCE WELLSPACE INTEGRATIVE MEDICINE INC. NPI 1164966446


NPI Information

NPI: 1164966446
Provider Name: BALANCE WELLSPACE INTEGRATIVE MEDICINE, INC.
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2110 CAROLINA AVE SW
ROANOKE, VA
ZIP 24014
Phone: (540) 343-0055
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BALANCE WELLSPACE INTEGRATIVE MEDICINE, INC. is a general practice in Roanoke, VA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee BALANCE WELLSPACE INTEGRATIVE MEDICINE, INC. NPI is 1164966446. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2110 CAROLINA AVE SW
ROANOKE, VA
ZIP 24014-738
Phone: (540) 343-0055
Fax: (540) 343-0056

The provider's authorized official is Jennifer Walker .
The authorized official title is President and has the following contact phone number (540) 343-0055.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 12/6/2016.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

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

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