Provider Demographics
NPI:1316830987
Name:BALANCED CHIROPRACTIC AND WELLNESS LLC
Entity type:Organization
Organization Name:BALANCED CHIROPRACTIC AND WELLNESS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CHIROPRACTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HAUN
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:423-612-0375
Mailing Address - Street 1:247 BROAD ST STE 104
Mailing Address - Street 2:
Mailing Address - City:KINGSPORT
Mailing Address - State:TN
Mailing Address - Zip Code:37660-4246
Mailing Address - Country:US
Mailing Address - Phone:423-612-0375
Mailing Address - Fax:
Practice Address - Street 1:247 BROAD ST STE 104
Practice Address - Street 2:
Practice Address - City:KINGSPORT
Practice Address - State:TN
Practice Address - Zip Code:37660-4246
Practice Address - Country:US
Practice Address - Phone:423-612-0375
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty