Organization
BALANCED CHIROPRACTIC LLC
Active
Other names
Balanced Chiropractic LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY ALLEN QUICK D.C. (OWNER/CHIROPRACTOR)
(608) 842-2622
Entity
Organization
Contact information
Practice address
6729 LAKE RD, WINDSOR, WI 53598-9701
(812) 212-2043
Mailing address
6729 LAKE RD STE 3, WINDSOR, WI 53598-9701
(608) 842-2622
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5116-12
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710437652
NPI
WI
Enumeration date
10/04/2016
Last updated
11/04/2021
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