Provider Demographics
NPI:1255087987
Name:BACK IN BALANCE WELLNESS CENTER LLC
Entity type:Organization
Organization Name:BACK IN BALANCE WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:SEILER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:701-590-3309
Mailing Address - Street 1:1462 I94 BUSINESS LOOP E UNIT 1
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:ND
Mailing Address - Zip Code:58601-6419
Mailing Address - Country:US
Mailing Address - Phone:701-483-8806
Mailing Address - Fax:701-483-8812
Practice Address - Street 1:1462 I94 BUSINESS LOOP E UNIT 1
Practice Address - Street 2:
Practice Address - City:DICKINSON
Practice Address - State:ND
Practice Address - Zip Code:58601-6419
Practice Address - Country:US
Practice Address - Phone:701-483-8806
Practice Address - Fax:701-483-8812
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-22
Last Update Date:2022-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty