Balvanz, Melissa J
Balvanz, Melissa J is an individual health care provider with primary practice located at 3065 College Rd , Fairbanks AK 99709-3702. 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. Balvanz, Melissa J can be contacted via phone (907) 374-1686.Contact Information
Primary practice address
3065 College Rd
Fairbanks AK 99709-3702
Phone: (907) 374-1686
Fax: (907) 374-1659
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 2089 | Alaska |
Profile Details
| NPI number | 1376776088 |
|---|---|
| LBN Legal business name | Balvanz, Melissa J |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 27th, 2009 |
| Last updated | Oct 23rd, 2019 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376776088 | NPPES |
| Alaska | MEDICAID | 1002573 |
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