Provider Demographics
NPI:1235311622
Name:BALANCED HEALTH SOLUTIONS, INC.
Entity Type:Organization
Organization Name:BALANCED HEALTH SOLUTIONS, INC.
Other - Org Name:BALANCED HEALTH CHIROPRACTIC
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:FRANCIS
Authorized Official - Last Name:MEDINA
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:330-493-9810
Mailing Address - Street 1:4124 FULTON DR NW STE 101
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44718-2852
Mailing Address - Country:US
Mailing Address - Phone:330-493-9810
Mailing Address - Fax:330-493-9820
Practice Address - Street 1:4216 HILLS AND DALES RD NW
Practice Address - Street 2:BALANCED HEALTH SOLUTIONS
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708
Practice Address - Country:US
Practice Address - Phone:330-493-9810
Practice Address - Fax:330-493-9820
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-28
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2740111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN1001XChiropractic ProvidersChiropractorNutritionGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9373951Medicare PIN