Provider Demographics
NPI:1891742177
Name:BALES CHIROPRACTIC P C
Entity Type:Organization
Organization Name:BALES CHIROPRACTIC P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:BALES
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:605-945-0199
Mailing Address - Street 1:200 E DAKOTA AVE
Mailing Address - Street 2:STE. 3
Mailing Address - City:PIERRE
Mailing Address - State:SD
Mailing Address - Zip Code:57501-3111
Mailing Address - Country:US
Mailing Address - Phone:605-945-0199
Mailing Address - Fax:605-945-0211
Practice Address - Street 1:200 E DAKOTA AVE
Practice Address - Street 2:STE. 3
Practice Address - City:PIERRE
Practice Address - State:SD
Practice Address - Zip Code:57501-3111
Practice Address - Country:US
Practice Address - Phone:605-945-0199
Practice Address - Fax:605-945-0211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-30
Last Update Date:2019-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD855261Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center