| Balance Chiropractic Center, Llc | |
|
10033 N Port Washington Rd, Suite 100, Mequon, WI 53092-5799 | |
| (262) 240-0136 | |
| (262) 240-0139 |
| Full Name | Balance Chiropractic Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 10033 N Port Washington Rd, Mequon, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427159805 | NPI | - | NPPES |
| 38893100 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3228 (Wisconsin) | Primary |
| Provider Name | Hutan Ghojallu |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1841247715 PECOS PAC ID: 6204836885 Enrollment ID: I20070104000343 |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Chiropractic Center, Llc 10033 N Port Washington Rd, Suite 100, Mequon, WI 53092-5799 Ph: (262) 240-0136 | Balance Chiropractic Center, Llc 10033 N Port Washington Rd, Suite 100, Mequon, WI 53092-5799 Ph: (262) 240-0136 |
Newporte Courte Family Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 10532 N Port Washington Rd, Mequon, WI 53092 Phone: 262-240-1600 Fax: 262-240-1602 | |
Jeremy Fritz, Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 11124 N Cedarburg Rd, Suite 240, Mequon, WI 53092 Phone: 262-512-1874 | |
Dr. John P Corsi, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 11129n Wauwatosa Rd, Mequon, WI 53097 Phone: 414-354-5377 Fax: 414-354-0523 | |
Mr. Eric L Strande, DC Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 10521 N Port Washington Rd, Suite 130, Mequon, WI 53092 Phone: 262-241-3434 Fax: 262-241-3903 | |
Douglas S Burson, DC Chiropractor Medicare: Medicare Enrolled Practice Location: 11649 N Port Washington Rd, Suite 100, Mequon, WI 53092 Phone: 262-240-2273 Fax: 262-240-2260 | |
Dr. Kari Lynn Charlevoix, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 6028 W Mequon Rd # 200, Mequon, WI 53092 Phone: 262-240-9946 Fax: 262-240-9946 | |
Wisconsin Family And Sports Chiropractic, Llc Chiropractor Medicare: Medicare Enrolled Practice Location: 10224 N Port Washington Rd, Suite F, Mequon, WI 53092 Phone: 262-236-9489 |