Healthcare Provider Details

I. General information

NPI: 1851616577
Provider Name (Legal Business Name): BALLENGER CHIROPRACTIC & ACUPUNCTURE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/06/2010
Last Update Date: 04/09/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1121 JORDAN CREEK PKWY STE 100
WEST DES MOINES IA
50266-5816
US

IV. Provider business mailing address

1121 JORDAN CREEK PKWY STE 100
WEST DES MOINES IA
50266-5816
US

V. Phone/Fax

Practice location:
  • Phone: 515-271-5000
  • Fax:
Mailing address:
  • Phone: 515-271-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ALEXANDRIA NICOLE BALLENGER
Title or Position: MANAGING MEMBER
Credential: D.C.
Phone: 913-244-5801