Pro Balance Llc

LBN: Pro Balance Llc
Pro Balance Llc is an health care organization with primary practice located at 2408 Fort Henry Dr , Kingsport TN 37664-3708. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, 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 Dr Kingsport TN 37664-3708
Fax: (423) 246-2803
Website:
Authorized official contact:
Name: Prumbs, Gilgia Physical Therapist (PT)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X PT2424 Tennessee

Profile Details

NPI number 1700288974
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 19th, 2014
Last updated Sep 19th, 2014 - about 10 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 1700288974 NPPES
Tennessee MEDICAID 3654861

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