Lookup NPI Numbers from the NPI Registry
NPI Profile for COURTNEY BALTHAZOR in MANITOWOC, WI.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1053037333 |
|
| Status | Active | |
| Credentials | SAC-IT | |
| Entity | Individual | |
| Enumeration date | 10/18/2022 | |
| Last updated | 10/18/2022 - About 4 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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COURTNEY BALTHAZOR
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COURTNEY BALTHAZOR, SAC-IT