Balok-Searles, Rebecca M

Balok-Searles, Rebecca M is an sole proprietor health care provider with primary practice located at 10 2Nd St Suite J, Dover NH 03820-3367. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Balok-Searles, Rebecca M can be contacted via phone (603) 749-1698.

Contact Information

Primary practice address
10 2Nd St Suite J Dover NH 03820-3367
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X NH-613 New Hampshire

Profile Details

NPI number 1083724041
LBN Legal business name Balok-Searles, Rebecca M
Credentials MA LCMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 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 1083724041 NPPES
New Hampshire Other PHCS PRIVATE HEALTHCARE SYS
New Hampshire Other 11564108 PRIVATE HEALTHCARE SYS
New Hampshire Other 14Y010412NH01 PRIVATE HEALTHCARE SYS
New Hampshire MEDICAID 30424206 PRIVATE HEALTHCARE SYS

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