Provider Demographics
NPI:1821206103
Name:BALANCED CHIROPRACTIC LLC
Entity Type:Organization
Organization Name:BALANCED CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CAROL
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:ARTHARS
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:856-235-1828
Mailing Address - Street 1:720 E MAIN ST
Mailing Address - Street 2:SUITE 1D
Mailing Address - City:MOORESTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08057-3058
Mailing Address - Country:US
Mailing Address - Phone:856-235-1828
Mailing Address - Fax:856-235-5133
Practice Address - Street 1:720 E MAIN ST
Practice Address - Street 2:SUITE 1D
Practice Address - City:MOORESTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08057-3058
Practice Address - Country:US
Practice Address - Phone:856-235-1828
Practice Address - Fax:856-235-5133
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-18
Last Update Date:2009-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ38MC00348800111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0014221546OtherIBC PPO #
3939540OtherCIGNA PPO #
7352574OtherAETNA PROVIDER #
2107483000OtherAMERIHELTH IBC HMO #
662281OtherUNITED HEALTHCARE #
P3315401OtherOXFORD HEALTH PLAN #
U92636Medicare UPIN