Balderston, Nicole Lynn

Balderston, Nicole Lynn is an individual health care provider with primary practice located at 1950 Diamond Pkwy , Kansas City MO 64116-4328. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Balderston, Nicole Lynn can be contacted via phone (816) 561-3003.

Contact Information

Primary practice address
1950 Diamond Pkwy Kansas City MO 64116-4328
Phone: (816) 561-3003
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 2019032463 Missouri
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 24-01454 Kansas

Profile Details

NPI number 1205532819
LBN Legal business name Balderston, Nicole Lynn
Credentials MS, LAT, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2023
Last updated Feb 6th, 2023 - about last year

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 1205532819 NPPES
Missouri Other 2019032463 AT LINCENSE
Missouri Other 24-01454 AT LINCENSE
Missouri Other 2000015152 AT LINCENSE

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