Provider Demographics
NPI:1770781908
Name:BALANCED APPROACH CHIROPRACTIC, LLC
Entity type:Organization
Organization Name:BALANCED APPROACH CHIROPRACTIC, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:MITCHELL
Authorized Official - Middle Name:S
Authorized Official - Last Name:SIMON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:816-246-2663
Mailing Address - Street 1:500 SW 3RD ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64063-2211
Mailing Address - Country:US
Mailing Address - Phone:816-246-2663
Mailing Address - Fax:816-246-2614
Practice Address - Street 1:500 SW 3RD ST
Practice Address - Street 2:SUITE D
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64063-2211
Practice Address - Country:US
Practice Address - Phone:816-246-2663
Practice Address - Fax:816-246-2614
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-10
Last Update Date:2007-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2004015447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty