Ballasch, Michael Robert

Ballasch, Michael Robert is an individual health care provider with primary practice located at 1202 W Thomas Rd , Phoenix AZ 85013-4208. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ballasch, Michael Robert can be contacted via phone (602) 285-7239.

Contact Information

Primary practice address
1202 W Thomas Rd Phoenix AZ 85013-4208
Phone: (602) 285-7239
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1644 Arizona

Profile Details

NPI number 1811401169
LBN Legal business name Ballasch, Michael Robert
Credentials AT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 24th, 2017
Last updated Nov 24th, 2017 - about 8 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 1811401169 NPPES
Other 1369996076 VETERAN'S AFFAIRS

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