Provider Demographics
NPI:1720664006
Name:BALANCE CHIROPRACTIC, LLC
Entity Type:Organization
Organization Name:BALANCE CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:TOBI
Authorized Official - Middle Name:REID
Authorized Official - Last Name:SHEIKER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:302-545-1640
Mailing Address - Street 1:5801 KENNETT PIKE STE AB
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19807-1123
Mailing Address - Country:US
Mailing Address - Phone:302-545-2640
Mailing Address - Fax:
Practice Address - Street 1:5801 KENNETT PIKE STE AB
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19807-1123
Practice Address - Country:US
Practice Address - Phone:302-545-2640
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NN0400XChiropractic ProvidersChiropractorNeurologyGroup - Single Specialty