MEDICARE: BALANCED HEALTH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	2008011984	MO

General Provider Information

NPI Number	:	1720225675
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BALANCED HEALTH

Provider Business Mailing Address
First Line	:	215 N MAIN ST
Second Line	:
City	:	PECULIAR
State	:	MO
Zip	:	64078-2522
Country	:	US
Telephone Number	:	816-779-3220
Fax Number	:	816-974-1613

Provider Business Practice Location Address
First Line	:	215 N MAIN ST
Second Line	:
City	:	PECULIAR
State	:	MO
Zip	:	64078-2522
Country	:	US
Telephone Number	:	816-779-3220
Fax Number	:	816-974-1613

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JENNIFER R WELCH
Credential	:	D.C.
Telephone Number	:	816-779-3220

Provider Enumeration Date	:	01/14/2009
Last Update Date	:	03/20/2009

Similar Medicare Providers

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Practice Location Address:

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Directions to “BALANCED HEALTH ” Practice Location

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