Bal, Jacob Daniel

Bal, Jacob Daniel is an individual health care provider with primary practice located at 626 Trail Ave , Frederick MD 21701-4934. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Bal, Jacob Daniel can be contacted via phone (301) 662-1997.

Contact Information

Primary practice address
626 Trail Ave Frederick MD 21701-4934
Phone: (301) 662-1997
Fax: (301) 668-2202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2202006812 Virginia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP-1452 West Virginia
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 07324 Maryland

Profile Details

NPI number 1497197016
LBN Legal business name Bal, Jacob Daniel
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2013
Last updated Jul 24th, 2013 - about 12 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 1497197016 NPPES
Maryland Other 07324 STATE OF MARYLAND
Maryland Other SLP-1452 STATE OF MARYLAND
Maryland Other 2202006812 STATE OF MARYLAND

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