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Organization
BALANCED LIVING CHIROPRACTIC CLINIC, INC
Active
Organization
BALANCED LIVING CHIROPRACTIC CLINIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEANINE A BITSKAY D.C. (PRESIDENT)
(330) 725-5277
Entity
Organization
Contact information
Practice address
708 E SMITH RD, MEDINA, OH 44256-2662
(330) 725-5277
(330) 725-4241
Mailing address
708 E SMITH RD, MEDINA, OH 44256-2662
(330) 725-5277
(330) 725-4241
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1685
OH
111N00000X
Chiropractor
1734
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000139760
ANTHEM-DR.MARK
OH
01
—
000000139761
ANTHEM-DR.JEANINE
OH
05
—
0221638
—
OH
05
—
0826020
—
OH
05
—
0857210
—
OH
01
—
131566870-005
MEDICAL MUTUAL-DR. MARK
OH
01
—
200505615-006
MEDICAL MUTUAL-DR.JEANINE
OH
01
—
34177451400
BWC-DR. JEANINE
OH
01
—
34178207500
BWC- DR. MARK
OH
Enumeration date
05/23/2005
Last updated
08/22/2020
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