Dr Robert D Balza, DC | |
2135 Dana Ave Ste 425, Cincinnati, OH 45207-1324 | |
(800) 404-6050 | |
(866) 313-3397 |
Full Name | Dr Robert D Balza |
---|---|
Gender | Male |
Speciality | Chiropractor - Rehabilitation |
Location | 2135 Dana Ave Ste 425, Cincinnati, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689955296 | NPI | - | NPPES |
2301011124 | Other | MI | CHIROPRACTIC LICENSE |
249470 | Other | KY | CHIROPRACTIC LICENSE |
38MC00782000 | Other | NJ | CHIROPRACTIC LICENSE |
04103 | Other | MD | CHIROPRACTIC LICENSE |
CHIR010632 | Other | GA | CHIROPRACTIC LICENSE |
DC-04211 | Other | OH | CHIROPRACTIC LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111NR0400X | Chiropractor - Rehabilitation | DC-04211 (Ohio) | Primary |
Provider Name | Airrosti Buckeye Inc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1588923924 PECOS PAC ID: 9638410483 Enrollment ID: O20190404002552 |
Mailing Address | Practice Location Address |
---|---|
Dr Robert D Balza, DC Po Box 700688, San Antonio, TX 78270-0688 Ph: (210) 318-3007 | Dr Robert D Balza, DC 2135 Dana Ave Ste 425, Cincinnati, OH 45207-1324 Ph: (800) 404-6050 |
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