| Balanced Medicine Llc | |
|
29002 Rockstull Rd Sugar Grove OH 43155-9644 | |
| (740) 746-0453 | |
| (740) 743-0453 |
| Full Name | Balanced Medicine Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 29002 Rockstull Rd, Sugar Grove, Ohio |
| Authorized Official Name and Position | Gabriela B Goss (SOLE PROPRIETOR) |
| Authorized Official Contact | 7407460453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Balanced Medicine Llc 29002 Rockstull Rd Sugar Grove OH 43155-9644 Ph: (740) 746-0453 | Balanced Medicine Llc 29002 Rockstull Rd Sugar Grove OH 43155-9644 Ph: (740) 746-0453 |
| NPI Number | 1891853271 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 03/12/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891853271 | NPI | - | NPPES |
| 2335351 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 34007781S (Ohio) | Primary |