Organization
BALANCED LIVING CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN P PHALEN D.C. (GENERAL PARTNER)
(716) 832-1818
Entity
Organization
Contact information
Practice address
2140 EGGERT RD, SUITE B, AMHERST, NY 14226-2055
(716) 832-1818
(716) 832-7815
Mailing address
2140 EGGERT RD, SUITE B, AMHERST, NY 14226-2055
(716) 832-1818
(716) 832-7815
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
X010360-1 X010361-1
NY
Other
Enumeration date
01/17/2006
Last updated
08/22/2020
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