Mcallister, Marzack Balasco
Mcallister, Marzack Balasco is an individual health care provider with primary practice located at 1900 Silver Lake Rd Nw Suite 110, New Brighton MN 55112-1786. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Mcallister, Marzack Balasco can be contacted via phone (651) 628-9566.Contact Information
Primary practice address
1900 Silver Lake Rd Nw Suite 110
New Brighton MN 55112-1786
Phone: (651) 628-9566
Fax: (651) 628-0411
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 301604 | Minnesota |
Profile Details
NPI number | 1225356892 |
---|---|
LBN Legal business name | Mcallister, Marzack Balasco |
Credentials | LADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 6th, 2010 |
Last updated | May 6th, 2010 - about 14 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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