Balderman, Sophia Rebecca

Balderman, Sophia Rebecca is an individual health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology. Allopathic & Osteopathic Physicians / Hematology is her primary health care specialty. Balderman, Sophia Rebecca can be contacted via phone (716) 845-2300.

Contact Information

Primary practice address
9500 Euclid Ave Cleveland OH 44195-0001
Phone: (716) 845-2300
Fax: (716) 845-1759
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 254222 New York
Allopathic & Osteopathic Physicians / Hematology 207RH0000X 254222 New York

Profile Details

NPI number 1104098607
LBN Legal business name Balderman, Sophia Rebecca
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 25th, 2008
Last updated Jan 17th, 2022 - about 4 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 1104098607 NPPES
New York MEDICAID 03616828

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