# BALANCED LIVING CHIROPRACTIC CLINIC, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588667745
- **Authorized official:** DR. JEANINE A BITSKAY D.C. (PRESIDENT)
- **Authorized official phone:** (330) 725-5277

## Contact information

- **Practice address:** 708 E SMITH RD, MEDINA, OH 44256-2662
- **Practice address phone:** (330) 725-5277
- **Practice address fax:** (330) 725-4241
- **Mailing address:** 708 E SMITH RD, MEDINA, OH 44256-2662
- **Mailing address phone:** (330) 725-5277
- **Mailing address fax:** (330) 725-4241

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 1685 | OH | Yes |
| 111N00000X | Chiropractor | 1734 | OH | — |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 08/22/2020

## 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 |