Individual
MR. TIMOTHY S BALLITCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
7155 W CAMPO BEILO DR STE B115, GLENDALE, AZ 85308
(480) 740-9619
(623) 322-3653
Mailing address
7155 W CAMPO BEILO DR STE B115, GLENDALE, AZ 85308
(480) 740-9619
(623) 322-3653
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
8620
AZ
111N00000X
Chiropractor
Primary
AZ8620
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8620
—
AZ
Enumeration date
03/13/2017
Last updated
06/26/2026
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