Back in Balance Chiropractic LLC – Clinic/Center

Key facts

NPI: 1750986014
Entity type: Organization (NPI type 2)
Primary specialty: Clinic/Center 261Q00000X
Legal business name: BACK IN BALANCE CHIROPRACTIC LLC
Practice address: 59 Pond St Apt a
Sharon, MA 02067-2064
Phone: (781) 806-5745
NPI assigned: Dec 3, 2020
Organization subpart: No

Authorized official

Name: Jillian Banks, D.C.
Title: Owner
Phone: (781) 806-5745

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Jillian Banks, DC Chiropractor · Sharon, MA · NPI 1205365590

Medicare reassignment NPD MA

Medicare participation

Medicare fee-for-service enrollment: Enrolled in MA

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20210316000805	MA	Part B Supplier - Clinic/Group Practice	4587070669	Receives reassigned benefits from 1 practitioner Practice locations: Sharon, MA

National Provider Directory

Locations

59 Pond St
Ste A
Sharon, MA 02067
Phone (781) 806-5745

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Clinic/Center	261Q00000X			Yes

Addresses

Primary practice location

59 Pond St Apt a
Sharon, MA 02067-2064

Mailing address

59 Pond St Apt a
Sharon, MA 02067-2064
Phone (781) 806-5745

Other providers in Sharon, MA

All providers in Sharon, MA · Clinic/Center in Massachusetts

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 3, 2020. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.