BALLARD CHIROPRACTIC NPI 1184818650

NPI Information

NPI: 1184818650
Provider Name: BALLARD CHIROPRACTIC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
1301I SUNSET DR
GRENADA, MS
ZIP 38901
Phone: (662) 226-4388
Get Directions

BALLARD CHIROPRACTIC is a chiropractor in Grenada, MS. The provider is 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. BALLARD CHIROPRACTIC NPI is 1184818650. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301I SUNSET DR
GRENADA, MS
ZIP 38901-003
Phone: (662) 226-4388
Fax: (662) 226-4538

The provider's authorized official is Harvey Mack Ballard .
The authorized official title is Owner and has the following contact phone number (662) 226-4388.

The enumeration date for this NPI number is 8/28/2007 and was last updated on 5/13/2009.

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	111N00000X	Chiropractor		0021		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	00115516	MEDICAID	MISSISSIPPI
2	424480961A	OTHER	MISSISSIPPI	BLUE CROSS
3	00503669	MEDICAID	MISSISSIPPI
4	C00653	MEDICARE PIN	MISSISSIPPI
5	T20752	MEDICARE UPIN	MISSISSIPPI

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: 5/5/2024

NPI Synchronization or Removal

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