Individual
ANASTASIOS BALIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6 BABCOCK AVENUE, PLAINFIELD, CT 06374
(860) 564-3250
Mailing address
6 BABCOCK AVENUE, PLAINFIELD, CT 06374
(860) 564-3250
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
001356
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050001356CT01
ANTHEM BLUE CROSS BLUE SH
—
Enumeration date
11/14/2006
Last updated
07/08/2007
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