Provider Demographics
NPI:1649688706
Name:BALANCED ATLAS & MIGRAINE CENTER LLC
Entity type:Organization
Organization Name:BALANCED ATLAS & MIGRAINE CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SAGGAU
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:720-563-1600
Mailing Address - Street 1:1501 W CAMPUS DR
Mailing Address - Street 2:SUITE I
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80120-4538
Mailing Address - Country:US
Mailing Address - Phone:303-795-0389
Mailing Address - Fax:
Practice Address - Street 1:1501 W CAMPUS DR
Practice Address - Street 2:SUITE I
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-4538
Practice Address - Country:US
Practice Address - Phone:303-795-0389
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-31
Last Update Date:2014-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0007003111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty