Provider Demographics
NPI:1700093994
Name:BALANCE CHIROPRACTIC & WELLNESS CENTER, P.C.
Entity Type:Organization
Organization Name:BALANCE CHIROPRACTIC & WELLNESS CENTER, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTIC PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AARON
Authorized Official - Middle Name:LOGAN
Authorized Official - Last Name:SALINGER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:401-831-2000
Mailing Address - Street 1:145 WATERMAN ST
Mailing Address - Street 2:LOWER LEVEL
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2128
Mailing Address - Country:US
Mailing Address - Phone:401-831-2000
Mailing Address - Fax:401-831-2026
Practice Address - Street 1:145 WATERMAN ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2128
Practice Address - Country:US
Practice Address - Phone:401-831-2000
Practice Address - Fax:401-831-2026
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2007-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIDCP00550111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty