Vest, Ishan Balthazar

Vest, Ishan Balthazar is an sole proprietor health care provider with primary practice located at 550 Washington St # 101, Daly City CA 94015-1908. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Vest, Ishan Balthazar can be contacted via phone (650) 994-4455.

Contact Information

Primary practice address
550 Washington St # 101 Daly City CA 94015-1908
Fax: (650) 994-7534
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 18679 California

Profile Details

NPI number 1013004571
LBN Legal business name Vest, Ishan Balthazar
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013004571 NPPES
California Other DC0186790 BLUE SHIELD

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