Balstrode, James
Balstrode, James is an individual health care provider with primary practice located at 1024 Essington Rd , Joliet IL 60435-2841. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Balstrode, James can be contacted via phone (815) 729-2469.Contact Information
Primary practice address
1024 Essington Rd
Joliet IL 60435-2841
Phone: (815) 729-2469
Fax: (815) 729-2529
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 070006577 | Illinois |
Profile Details
| NPI number | 1578628129 |
|---|---|
| LBN Legal business name | Balstrode, James |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 26th, 2006 |
| Last updated | Jul 17th, 2013 - about 13 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 | 1578628129 | NPPES |
| Illinois | Other | 070-006577 | PT STATE LICENSE # |
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