Balderas, Manuel
Balderas, Manuel is an sole proprietor health care provider with primary practice located at 41 Mall Rd , Burlington MA 01805-3509. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Addiction Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Balderas, Manuel can be contacted via phone (781) 744-8000.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | L0011 | Texas |
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | L0011 | Texas |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 263953 | Massachusetts |
Profile Details
| NPI number | 1851404545 |
|---|---|
| LBN Legal business name | Balderas, Manuel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Jan 24th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851404545 | NPPES |
| Other | 1408884-02 | TPI |
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