Bal, Diana C

Bal, Diana C is an sole proprietor health care provider with primary practice located at 109 Churchill Ct , Summerville SC 29485-3454. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Bal, Diana C can be contacted via phone (843) 821-9175.

Contact Information

Primary practice address
109 Churchill Ct Summerville SC 29485-3454
Phone: (843) 821-9175
Fax: (843) 821-9170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 704 South Carolina
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 704 South Carolina

Profile Details

NPI number 1245388966
LBN Legal business name Bal, Diana C
Credentials MHSOT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 8th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245388966 NPPES
South Carolina MEDICAID TH0663

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