Provider Demographics
NPI:1629640941
Name:BALANCE CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BALANCE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:MAGEE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:609-417-8347
Mailing Address - Street 1:10110 JOHNSTON RD STE 11
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-9201
Mailing Address - Country:US
Mailing Address - Phone:980-352-8055
Mailing Address - Fax:
Practice Address - Street 1:10110 JOHNSTON RD STE 11
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28210-9201
Practice Address - Country:US
Practice Address - Phone:980-352-8055
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-15
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty