Provider Demographics
NPI:1841986551
Name:BALANCE FOR LIFE CHIROPRACTIC LLC
Entity type:Organization
Organization Name:BALANCE FOR LIFE CHIROPRACTIC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF CHIROPRACTIC
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIKA
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:ECKMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:870-736-6229
Mailing Address - Street 1:1310 EASTSIDE CENTRE CT STE 2
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN HOME
Mailing Address - State:AR
Mailing Address - Zip Code:72653-2748
Mailing Address - Country:US
Mailing Address - Phone:870-736-6229
Mailing Address - Fax:
Practice Address - Street 1:1310 EASTSIDE CENTRE CT STE 2
Practice Address - Street 2:
Practice Address - City:MOUNTAIN HOME
Practice Address - State:AR
Practice Address - Zip Code:72653-2748
Practice Address - Country:US
Practice Address - Phone:870-736-6229
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-14
Last Update Date:2023-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NS0005XChiropractic ProvidersChiropractorSports PhysicianGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty