| Back In Balance Chiropractic Llc | |
|
59 Pond St Apt A Sharon MA 02067-2064 | |
| (781) 806-5745 | |
| Not Available |
| Full Name | Back In Balance Chiropractic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 59 Pond St Apt A, Sharon, Massachusetts |
| Authorized Official Name and Position | Jillian Banks (OWNER) |
| Authorized Official Contact | 7818065745 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Back In Balance Chiropractic Llc 59 Pond St Apt A Sharon MA 02067-2064 Ph: (781) 806-5745 | Back In Balance Chiropractic Llc 59 Pond St Apt A Sharon MA 02067-2064 Ph: (781) 806-5745 |
| NPI Number | 1750986014 |
|---|---|
| Provider Enumeration Date | 12/03/2020 |
| Last Update Date | 12/03/2020 |
| Medicare PECOS PAC ID | 4587070669 |
|---|---|
| Medicare Enrollment ID | O20210316000805 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750986014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jillian Elise Banks |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1205365590 PECOS PAC ID: 5496161572 Enrollment ID: I20210316000982 |
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