| Balance Wellspace LLC | |
|
125 Rampart Way Ste 300 Denver CO 80230-6429 | |
| (540) 815-1830 | |
| Not Available |
| Full Name | Balance Wellspace LLC |
|---|---|
| Speciality | General Practice |
| Location | 125 Rampart Way Ste 300, Denver, Colorado |
| Authorized Official Name and Position | Jennifer Walker (PRESIDENT) |
| Authorized Official Contact | 7203260899 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Balance Wellspace LLC 125 Rampart Way Ste 300 Denver CO 80230-6429 Ph: (720) 326-0899 | Balance Wellspace LLC 125 Rampart Way Ste 300 Denver CO 80230-6429 Ph: (540) 815-1830 |
| NPI Number | 1689208035 |
|---|---|
| Provider Enumeration Date | 02/25/2020 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Medicare PECOS PAC ID | 1951730415 |
|---|---|
| Medicare Enrollment ID | O20200403001420 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689208035 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Jennifer E Walker |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649200130 PECOS PAC ID: 0749296846 Enrollment ID: I20200403001697 |
| Provider Name | Sarah Hoefert |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174134456 PECOS PAC ID: 6901218809 Enrollment ID: I20201217002727 |
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