Ballou, Amy Jean
Ballou, Amy Jean is an sole proprietor health care provider with primary practice located at 1978 Grand Ave Ste 45 , West Des Moines IA 50265-4217. 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. Ballou, Amy Jean can be contacted via phone (515) 221-2220.Contact Information
Primary practice address
1978 Grand Ave Ste 45
West Des Moines IA 50265-4217
Phone: (515) 221-2220
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 01310 | Iowa |
Profile Details
| NPI number | 1386712313 |
|---|---|
| LBN Legal business name | Ballou, Amy Jean |
| Credentials | OTD OTR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1386712313 | NPPES |
| Iowa | Other | 46281 | WELLMARK |
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