Provider Demographics
NPI:1689019069
Name:BALANCE CHIROPRACTIC & WELLNESS CENTER, LLC
Entity Type:Organization
Organization Name:BALANCE CHIROPRACTIC & WELLNESS CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JEFFREY
Authorized Official - Middle Name:
Authorized Official - Last Name:HUREWITZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:917-648-1018
Mailing Address - Street 1:1999 ROUTE 88
Mailing Address - Street 2:
Mailing Address - City:BRICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08724-3152
Mailing Address - Country:US
Mailing Address - Phone:732-903-2222
Mailing Address - Fax:732-903-2111
Practice Address - Street 1:1999 ROUTE 88
Practice Address - Street 2:
Practice Address - City:BRICK
Practice Address - State:NJ
Practice Address - Zip Code:08724-3152
Practice Address - Country:US
Practice Address - Phone:732-903-2222
Practice Address - Fax:732-903-2111
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-30
Last Update Date:2020-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ108438V34Medicare PIN
V11672Medicare UPIN