Ballou, Amy Jean

Ballou, Amy Jean is an sole proprietor health care provider with primary practice located at 1978 Grand Ave Ste 45 , West Des Moines IA 50265-4217. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Ballou, Amy Jean can be contacted via phone (515) 221-2220.

Contact Information

Primary practice address
1978 Grand Ave Ste 45 West Des Moines IA 50265-4217
Phone: (515) 221-2220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 01310 Iowa

Profile Details

NPI number 1386712313
LBN Legal business name Ballou, Amy Jean
Credentials OTD OTR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 30th, 2006
Last updated Jul 8th, 2007 - about 17 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 1386712313 NPPES
Iowa Other 46281 WELLMARK

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