Balaban, Joan

Balaban, Joan is an sole proprietor health care provider with primary practice located at 6910 Wissahickon Ave , Philadelphia PA 19119-3728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Balaban, Joan can be contacted via phone (215) 844-2044.

Contact Information

Primary practice address
6910 Wissahickon Ave Philadelphia PA 19119-3728
Phone: (215) 844-2044
Fax: (215) 844-2046
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD038814E Pennsylvania

Profile Details

NPI number 1760624894
LBN Legal business name Balaban, Joan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 6th, 2009
Last updated Apr 6th, 2009 - about 17 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 1760624894 NPPES
Pennsylvania Other MD038814E LICENSE NUMBER
Pennsylvania Other MD038814E LICENSE NUMBER

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