Healthcare Provider Details

I. General information

NPI: 1720664006
Provider Name (Legal Business Name): BALANCE CHIROPRACTIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2021
Last Update Date: 04/29/2021
Certification Date: 04/29/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5801 KENNETT PIKE STE AB
WILMINGTON DE
19807-1123
US

IV. Provider business mailing address

5801 KENNETT PIKE STE AB
WILMINGTON DE
19807-1123
US

V. Phone/Fax

Practice location:
  • Phone: 302-545-2640
  • Fax:
Mailing address:
  • Phone: 302-545-2640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. TOBI REID SHEIKER
Title or Position: PRESIDENT
Credential: DC
Phone: 302-545-1640