Provider Demographics
NPI:1538734298
Name:SERGIO BALLI CHIROPRACTIC, INC.
Entity type:Organization
Organization Name:SERGIO BALLI CHIROPRACTIC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SERGIO
Authorized Official - Middle Name:ARTURO
Authorized Official - Last Name:BALLI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:559-298-6325
Mailing Address - Street 1:6789 N WILLOW AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93710-5959
Mailing Address - Country:US
Mailing Address - Phone:559-978-9324
Mailing Address - Fax:559-298-6322
Practice Address - Street 1:6789 N WILLOW AVE STE 101
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93710-5959
Practice Address - Country:US
Practice Address - Phone:559-978-9324
Practice Address - Fax:559-298-6322
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PREFERRED CHIROPRACTIC CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-05-25
Last Update Date:2021-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty