Ballestero, Shaniya Nicole

Ballestero, Shaniya Nicole is an individual health care provider with primary practice located at 19853 Outer Dr Ste 110 , Dearborn MI 48124-2044. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Eye and Vision Services Providers / Technician/Technologist. Eye and Vision Services Providers / Technician/Technologist is her primary health care specialty. Ballestero, Shaniya Nicole can be contacted via phone (313) 406-5056.

Contact Information

Primary practice address
19853 Outer Dr Ste 110 Dearborn MI 48124-2044
Phone: (313) 406-5056
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X Michigan
Eye and Vision Services Providers / Technician/Technologist 156F00000X

Profile Details

NPI number 1861118077
LBN Legal business name Ballestero, Shaniya Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2022
Last updated Oct 19th, 2022 - about 2 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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