Provider Demographics
NPI:1922763572
Name:BALANCE CHIROPRACTIC & WELLNESS, PC
Entity Type:Organization
Organization Name:BALANCE CHIROPRACTIC & WELLNESS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEESON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:484-269-3004
Mailing Address - Street 1:503 MEADOWCREST LN
Mailing Address - Street 2:
Mailing Address - City:DOUGLASSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19518-9233
Mailing Address - Country:US
Mailing Address - Phone:484-269-3004
Mailing Address - Fax:
Practice Address - Street 1:3240 W PHILADELPHIA AVE STE A
Practice Address - Street 2:
Practice Address - City:OLEY
Practice Address - State:PA
Practice Address - Zip Code:19547-8993
Practice Address - Country:US
Practice Address - Phone:484-491-1383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-08
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty