Balbas, John C.

Balbas, John C. is an individual health care provider with primary practice located at 4802 S 109Th East Ave , Tulsa OK 74146-5822. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Balbas, John C. can be contacted via phone (918) 392-1400.

Contact Information

Primary practice address
4802 S 109Th East Ave Tulsa OK 74146-5822
Phone: (918) 392-1400
Fax: (918) 392-1488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 26150 Oklahoma

Profile Details

NPI number 1730201682
LBN Legal business name Balbas, John C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 4th, 2007
Last updated Oct 13th, 2008 - 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 1730201682 NPPES
Oklahoma Other OK400804 MEDICARE PTAN

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