Healthcare Provider Details

I. General information

NPI: 1003455643
Provider Name (Legal Business Name): BALANCED BODY CHIROPRACTIC HEALTHCARE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/30/2019
Last Update Date: 12/30/2019
Certification Date: 12/30/2019
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FOREST AVE STE 215
PARAMUS NJ
07652-5241
US

IV. Provider business mailing address

6 FOREST AVE STE 215
PARAMUS NJ
07652-5241
US

V. Phone/Fax

Practice location:
  • Phone: 201-880-5145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State

VIII. Authorized Official

Name: DR. CAREY SKORSKI
Title or Position: PRESIDENT
Credential: DC
Phone: 917-288-0014