Provider Demographics
NPI:1346412376
Name:MID AMERICA BALANCE INSTITUTE INC
Entity Type:Organization
Organization Name:MID AMERICA BALANCE INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:WOODWARD
Authorized Official - Suffix:
Authorized Official - Credentials:MPT
Authorized Official - Phone:816-246-1456
Mailing Address - Street 1:4801 W 110TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66211-1211
Mailing Address - Country:US
Mailing Address - Phone:816-246-1456
Mailing Address - Fax:816-286-2774
Practice Address - Street 1:4801 W 110TH ST STE 100
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66211-1211
Practice Address - Country:US
Practice Address - Phone:816-246-1456
Practice Address - Fax:816-286-2774
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-31
Last Update Date:2024-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, OtherGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOMA1075Medicare PIN