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:
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Health care specialties

SpecialtyCodeLicense #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 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 1578628129 NPPES
Illinois Other 070-006577 PT STATE LICENSE #

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