Provider Demographics
NPI:1053045831
Name:BALANCE NATUROPATHIC & ACUPUNCTURE CLINIC
Entity Type:Organization
Organization Name:BALANCE NATUROPATHIC & ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MENG
Authorized Official - Middle Name:
Authorized Official - Last Name:XIONG
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:253-993-0931
Mailing Address - Street 1:736 BRAWLEY SCHOOL RD STE E
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9283
Mailing Address - Country:US
Mailing Address - Phone:704-664-1031
Mailing Address - Fax:704-664-1035
Practice Address - Street 1:736 BRAWLEY SCHOOL RD STE E
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9283
Practice Address - Country:US
Practice Address - Phone:704-664-1031
Practice Address - Fax:704-664-1035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-15
Last Update Date:2022-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No175F00000XOther Service ProvidersNaturopathGroup - Multi-Specialty