Individual
JACOB DANIEL BAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SLP
Contact information
Practice address
626 TRAIL AVE, FREDERICK, MD 21701-4934
(301) 662-1997
(301) 668-2202
Mailing address
626 TRAIL AVE, FREDERICK, MD 21701-4934
(301) 662-1997
(301) 668-2202
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
07324
MD
235Z00000X
Speech-Language Pathologist
2202006812
VA
235Z00000X
Speech-Language Pathologist
SLP-1452
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07324
STATE OF MARYLAND
MD
01
—
2202006812
COMMONWEALTH OF VIRGINIA
VA
01
—
SLP-1452
WEST VIRGINIA BOARDNOF EXAMINERS
WV
Enumeration date
07/24/2013
Last updated
07/24/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us