Ball, Theresa Melita

Ball, Theresa Melita is an individual health care provider with primary practice located at 3674 North Rancho Drive Suite 101, Las Vegas NV 89130-3115. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, which is considered as her primary health care specialty. Ball, Theresa Melita can be contacted via phone (702) 396-2988.

Contact Information

Primary practice address
3674 North Rancho Drive Suite 101 Las Vegas NV 89130-3115
Fax: (510) 281-6883
Website:

Profile Details

NPI number 1114270832
LBN Legal business name Ball, Theresa Melita
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2012
Last updated Oct 18th, 2012 - about 13 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 1114270832 NPPES
Nevada MEDICAID 26-382222

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