Provider Demographics
NPI:1760606768
Name:BALFOUR CHIROPRACTIC INC
Entity Type:Organization
Organization Name:BALFOUR CHIROPRACTIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KENNETH
Authorized Official - Middle Name:SCOTT
Authorized Official - Last Name:CAVE
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:818-489-3519
Mailing Address - Street 1:18907 NORDHOFF ST.
Mailing Address - Street 2:STE 39
Mailing Address - City:NORTHRIDGE
Mailing Address - State:CA
Mailing Address - Zip Code:91324
Mailing Address - Country:US
Mailing Address - Phone:818-701-7070
Mailing Address - Fax:818-993-9900
Practice Address - Street 1:18907 NORDHOFF ST.
Practice Address - Street 2:STE 39
Practice Address - City:NORTHRIDGE
Practice Address - State:CA
Practice Address - Zip Code:91324
Practice Address - Country:US
Practice Address - Phone:818-701-7070
Practice Address - Fax:818-993-9900
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty