Balla, Stacey

Balla, Stacey is an sole proprietor health care provider with primary practice located at 145 E Deer Flat Rd , Kuna ID 83634-1323. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Balla, Stacey can be contacted via phone (208) 922-9001.

Contact Information

Primary practice address
145 E Deer Flat Rd Kuna ID 83634-1323
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 40516 Idaho

Profile Details

NPI number 1679903199
LBN Legal business name Balla, Stacey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 19th, 2013
Last updated Jan 17th, 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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