Provider Demographics
NPI:1346564382
Name:BALLENGER, ALEXANDRIA NICOLE (DC)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDRIA
Middle Name:NICOLE
Last Name:BALLENGER
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1121 JORDAN CREEK PKWY STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50266-5816
Mailing Address - Country:US
Mailing Address - Phone:515-271-5000
Mailing Address - Fax:515-271-5006
Practice Address - Street 1:1121 JORDAN CREEK PKWY STE 100
Practice Address - Street 2:
Practice Address - City:WEST DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50266-5816
Practice Address - Country:US
Practice Address - Phone:515-271-5000
Practice Address - Fax:515-271-5006
Is Sole Proprietor?:No
Enumeration Date:2010-03-19
Last Update Date:2018-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA007279111NN1001X, 111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No111NN1001XChiropractic ProvidersChiropractorNutrition