Balavitch-Gomez, Laura Jean

Balavitch-Gomez, Laura Jean is an individual health care provider with primary practice located at 36549 Harper Ave Suite B, Clinton Twp MI 48035-2012. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Balavitch-Gomez, Laura Jean can be contacted via phone (586) 791-3150.

Contact Information

Primary practice address
36549 Harper Ave Suite B Clinton Twp MI 48035-2012
Phone: (586) 791-3150
Fax: (586) 791-0409
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601001632 Michigan

Profile Details

NPI number 1891901278
LBN Legal business name Balavitch-Gomez, Laura Jean
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Jul 8th, 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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