Provider Demographics
NPI:1033795372
Name:BACK TO BALANCE CHIROPRACTIC & FAMILY WELLNESS
Entity Type:Organization
Organization Name:BACK TO BALANCE CHIROPRACTIC & FAMILY WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER & CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAMBERLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:203-219-8456
Mailing Address - Street 1:705 BOSTON POST RD STE C7
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2732
Mailing Address - Country:US
Mailing Address - Phone:203-533-1130
Mailing Address - Fax:203-533-7970
Practice Address - Street 1:705 BOSTON POST RD STE C7
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2732
Practice Address - Country:US
Practice Address - Phone:203-533-1130
Practice Address - Fax:203-533-7970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty