Pro Balance Llc

LBN: Pro Balance Llc
Pro Balance Llc is an health care organization with primary practice located at 2408 Fort Henry Drive , Kingsport TN 37664. The organization recently has only one registered license in Suppliers / Prosthetic/Orthotic Supplier, which is considered as the primary health care specialty. Pro Balance Llc can be contacted via phone (423) 246-7272, or through Prumbs, Gilgia via phone (423) 246-7272.

Contact Information

Primary practice address
2408 Fort Henry Drive Kingsport TN 37664
Phone: (423) 246-7272
Fax: (423) 246-2803
Website:
Map and Directions
Authorized official contact:
Name: Prumbs, Gilgia Physical Therapist (PT)
Phone: (423) 246-7272

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Prosthetic/Orthotic Supplier 335E00000X PRO16 Tennessee

Profile Details

NPI number 1104012319
LBN Legal business name Pro Balance Llc
DBA Doing business as
Authorized official Prumbs, Gilgia Physical Therapist (PT)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 20th, 2007
Last updated Jan 7th, 2008 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104012319 NPPES
Tennessee MEDICAID 1454327

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