Provider Demographics
NPI:1558712950
Name:ADIO FAMILY CHIROPRACTIC PLC
Entity Type:Organization
Organization Name:ADIO FAMILY CHIROPRACTIC PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BALZER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:989-600-0092
Mailing Address - Street 1:301 E WACKERLY ST
Mailing Address - Street 2:
Mailing Address - City:MIDLAND
Mailing Address - State:MI
Mailing Address - Zip Code:48642-7062
Mailing Address - Country:US
Mailing Address - Phone:989-600-0092
Mailing Address - Fax:989-600-8082
Practice Address - Street 1:301 E WACKERLY ST
Practice Address - Street 2:
Practice Address - City:MIDLAND
Practice Address - State:MI
Practice Address - Zip Code:48642-7062
Practice Address - Country:US
Practice Address - Phone:989-600-0092
Practice Address - Fax:989-600-8082
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-27
Last Update Date:2016-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI2301010400111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty