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BALANCED LIVING CHIROPRACTIC CLINIC INC NPI 1588667745


NPI Information

NPI: 1588667745
Provider Name: BALANCED LIVING CHIROPRACTIC CLINIC, INC
Classification: Chiropractor - 111N00000X
Entity Type: Organization
Address:
708 E SMITH RD
MEDINA, OH
ZIP 44256
Phone: (330) 725-5277
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BALANCED LIVING CHIROPRACTIC CLINIC, INC is a chiropractor in Medina, OH. 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. BALANCED LIVING CHIROPRACTIC CLINIC, INC NPI is 1588667745. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

708 E SMITH RD
MEDINA, OH
ZIP 44256-662
Phone: (330) 725-5277
Fax: (330) 725-4241

The provider's authorized official is Jeanine A Bitskay .
The authorized official title is President and has the following contact phone number (330) 725-5277.

The enumeration date for this NPI number is 5/23/2005 and was last updated on 8/22/2020.


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
1111N00000XChiropractor1734OHIONo
2111N00000XChiropractor1685OHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
134177451400OTHEROHIOBWC-DR. JEANINE
20857210MEDICAIDOHIO
3200505615-006OTHEROHIOMEDICAL MUTUAL-DR.JEANINE
4000000139760OTHEROHIOANTHEM-DR.MARK
50221638MEDICAIDOHIO
60826020MEDICAIDOHIO
7131566870-005OTHEROHIOMEDICAL MUTUAL-DR. MARK
8000000139761OTHEROHIOANTHEM-DR.JEANINE
934178207500OTHEROHIOBWC- DR. MARK

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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