Balsan, Michael Jordan

Balsan, Michael Jordan is an sole proprietor health care provider with primary practice located at 1325 Denniston St , Pittsburgh PA 15217-1330. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Balsan, Michael Jordan can be contacted via phone (412) 212-7117.

Contact Information

Primary practice address
1325 Denniston St Pittsburgh PA 15217-1330
Phone: (412) 212-7117
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PS019658 Pennsylvania
Behavioral Health & Social Service Providers / Counseling 103TC1900X 38708 Texas

Profile Details

NPI number 1750050761
LBN Legal business name Balsan, Michael Jordan
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2021
Last updated Jul 13th, 2024 - about last year

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 1750050761 NPPES
Texas Other 38708 TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL LICENSE NUMBER
Texas Other PS019658 TEXAS BEHAVIORAL HEALTH EXECUTIVE COUNCIL LICENSE NUMBER

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