Provider Demographics
NPI:1932677572
Name:OFFENSIVE BACKS PLLC
Entity Type:Organization
Organization Name:OFFENSIVE BACKS PLLC
Other - Org Name:BALANCED CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIROPRACTOR
Authorized Official - Prefix:
Authorized Official - First Name:GERREN
Authorized Official - Middle Name:
Authorized Official - Last Name:BRITTIAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:336-293-8931
Mailing Address - Street 1:3371 CLOVERLEAF PKWY
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-6991
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3371 CLOVERLEAF PKWY
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-6991
Practice Address - Country:US
Practice Address - Phone:980-248-1788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-12
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty