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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1245388966 | NPPES |
South Carolina | MEDICAID | TH0663 |
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