Balanced Health Center, LLC
Chiropractor in O Fallon, MO. Organization (NPI-2).
NPI number1740407907
StatusActive
Last updated in NPPESMay 6, 2009
Details
- NPI
- 1740407907
- Entity type
- Organization (NPI-2)
- Legal business name
- Balanced Health Center, LLC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2007
- Last updated
- May 6, 2009
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111N00000X | Chiropractor | 2006000335 | MO | Yes |
Practice location
2011 Highway KO Fallon, MO 63366-3965
Phone 636-978-3110 · Fax 636-980-1059
Mailing address
2011 Highway KO Fallon, MO 63366-3965
Phone 636-978-3110 · Fax 636-980-1059
Authorized official
Lori Ann Stock
Member
6369783110
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