Balanced Life Chiropractic LLC
Organization Active NPI Primary Care Clinic/Center · Spring Hill, TN
NPI 1821691908 · NPPES record last updated Apr 26, 2024
Key facts
- NPI
- 1821691908
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Primary Care Clinic/Center 261QP2300X
- Legal business name
- BALANCED LIFE CHIROPRACTIC LLC
- Practice address
- 4920 Port Royal Rd Ste C
Spring Hill, TN 37174-2856 - Phone
- (931) 451-7230
- Fax
- (931) 451-7958
- NPI assigned
- Nov 19, 2020
- Organization subpart
- No
Authorized official
- Name
- Ellen Kernodle, DC
- Title
- Owner
- Phone
- (812) 593-5484
Practitioners 1
-
Ellen Kernodle, DC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210303001447 | TN | Part B Supplier - Clinic/Group Practice | 2365858123 |
Receives reassigned benefits from 1 practitioner Practice locations: Spring Hill, TN |
National Provider Directory
Locations
4920 Port Royal Rd
Ste C
Spring Hill, TN 37174
Phone (931) 451-7230
4920 Port Royal Rd
Spring Hill, TN 37174
Phone (931) 451-7230
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Clinic/Center | 261QP2300X | Yes |
Addresses
Primary practice location
4920 Port Royal Rd Ste C
Spring Hill, TN 37174-2856
Mailing address
4920 Port Royal Rd Ste C
Spring Hill, TN 37174-2856
Phone (931) 451-7230
Other names
- Well Health & Chiropractic Spring Hill
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- Meredith M Ball
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All providers in Spring Hill, TN · Primary Care Clinic/Center in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 26, 2024. 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.