BALANCED LIFE CHIROPRACTIC LLC (NPI# 1821567652) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821567652 |
Entity Type | Organization |
Organization Name | BALANCED LIFE CHIROPRACTIC LLC |
Practice Address |
9028 Prince William St Ste 2a Manassas VA 20110-5664 |
Practice Telephone | 7033348597 |
Mailing Telephone | 7033348597 |
Enumeration Date | 2018-11-21 |
Last Update Date | 2018-11-21 |
Authorized Official Name | DR. JACQUELINE MERCED GONZALEZ (OWNER/CHIROPRACTOR) |
Authorized Official Telephone | 4044099010 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043596224 | Balanced Life Chiropractic LLC | Chiropractor | 1029 Fair Rd, Sidney, OH 45365-8947 | 2011-11-01 |
Street Address |
9028 PRINCE WILLIAM ST STE 2A |
City | MANASSAS |
State | VA |
Zip Code | 20110-5664 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386041614 | Jacqueline Merced Gonzalez | Chiropractor | 9028 Prince William St Ste 2a, Manassas, VA 20110-5664 | 2014-12-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1184246787 | Sini Eapen | Nurse Practitioner | 9380 Forestwood Lane, 9380 Unit B, Manassas, VA 20110 | 2020-05-18 |
1023662202 | United Health Home Care Agency | Registered Nurse | 8789 Commerce Ct#202, Manassas, VA 20110 | 2019-07-26 |
1750868097 | Elaine K. Sours, D.d.s., P.C. | Dentist | 8719 Plantation Lane, Manassas, VA 20110 | 2018-07-19 |
1962904573 | Donielle Francis | Specialist/Technologist | 10420 Monterosa Pl, Manassas, VA 20110 | 2018-02-28 |
1003332354 | Katrina Kask | Occupational Therapist | 6985 Centreville Rd., Manassas, VA 20110 | 2017-08-18 |
1477091478 | Mega Health Services, Inc | General Practice | 9602 Champion Ct, Manassas, VA 20110 | 2017-02-09 |
1811340599 | Malik Usman Dds, PC | Dentist | 8559 Sudley Road, Manassas, VA 20110 | 2016-07-19 |
1871944660 | Chitra Subbaraj | Physical Therapist | 8595 Centreville Rd, Manassas, VA 20110 | 2016-06-23 |
1093186512 | Daczkowski Orthodontics | Dentist | 8715 Stonewall Road, Manassas, VA 20110 | 2015-10-09 |
1851770366 | Candace Fleming | Counselor | 9242b Mosby St, Manassas, VA 20110 | 2015-05-29 |
Find all providers in zip 20110 |
Taxonomy Code | 261QP2300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Primary Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700129194 | Axiom Health Corporation | Clinic/Center | 9707 Signal Ct, Manassas, VA 20111-2505 | 2013-04-03 |
1598054793 | Comprehensive Occupational Medical Associates of Connecticut PC | Clinic/Center | 9600 Godwin Dr, Manassas, VA 20110-4162 | 2011-03-29 |
1972892065 | Manassas Primary Care, LLC | Clinic/Center | 8428 Dorsey Cir, Suite 101, Manassas, VA 20110-8302 | 2011-03-29 |
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1700426244 | Quad/med, LLC | Clinic/Center | 366 Draft Avenue, Stuarts Draft, VA 24477-2941 | 2020-01-13 |
1114560653 | Amy Beyer LLC | Clinic/Center | 2611 Thomas Jefferson Pkwy, Palmyra, VA 22963-5000 | 2019-10-28 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.