Ballow, Maynon Michelle

Ballow, Maynon Michelle is an individual health care provider with primary practice located at 4209 Mckinney Avenue Suite 202-C , Dallas TX 75207. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Health, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Behavioral Health & Social Service Providers / Health is her primary health care specialty. Ballow, Maynon Michelle can be contacted via phone (214) 641-8885.

Contact Information

Primary practice address
4209 Mckinney Avenue Suite 202-C Dallas TX 75207
Phone: (214) 641-8885
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health 103TH0004X Texas
Dietary & Nutritional Service Providers / Nutrition, Metabolic 133VN1006X Texas

Profile Details

NPI number 1801226634
LBN Legal business name Ballow, Maynon Michelle
Credentials CLINICAL NUTRITION/B
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2013
Last updated Nov 14th, 2013 - about 11 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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