| Ballenger Chiropractic & Acupuncture, Pllc | |
|
1121 Jordan Creek Pkwy Ste 100 West Des Moines IA 50266-5816 | |
| (515) 271-5000 | |
| Not Available |
| Full Name | Ballenger Chiropractic & Acupuncture, Pllc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1121 Jordan Creek Pkwy Ste 100, West Des Moines, Iowa |
| Authorized Official Name and Position | Alexandria Nicole Ballenger (MANAGING MEMBER) |
| Authorized Official Contact | 9132445801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ballenger Chiropractic & Acupuncture, Pllc 1121 Jordan Creek Pkwy Ste 100 West Des Moines IA 50266-5816 Ph: (515) 271-5000 | Ballenger Chiropractic & Acupuncture, Pllc 1121 Jordan Creek Pkwy Ste 100 West Des Moines IA 50266-5816 Ph: (515) 271-5000 |
| NPI Number | 1851616577 |
|---|---|
| Provider Enumeration Date | 04/06/2010 |
| Last Update Date | 04/09/2018 |
| Medicare PECOS PAC ID | 4789715277 |
|---|---|
| Medicare Enrollment ID | O20100628000361 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851616577 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Christopher Charles Zimmerman |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1134281348 PECOS PAC ID: 8325941982 Enrollment ID: I20040130000290 |
| Provider Name | Lucas J Ballenger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1366766313 PECOS PAC ID: 0941331441 Enrollment ID: I20100628000387 |
| Provider Name | Alexandria N Ballenger |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1346564382 PECOS PAC ID: 8123159621 Enrollment ID: I20100628000423 |
| Provider Name | Timothy J Fordyce |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1710434600 PECOS PAC ID: 1254628159 Enrollment ID: I20160920002886 |
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