Balderrama, Dana S

Balderrama, Dana S is an individual health care provider with primary practice located at 2902 Sw Asbury Dr , Topeka KS 66614-4466. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery of the Hand, Allopathic & Osteopathic Physicians / Plastic Surgery. Allopathic & Osteopathic Physicians / Plastic Surgery is his primary health care specialty. Balderrama, Dana S can be contacted via phone (785) 354-9591.

Contact Information

Primary practice address
2902 Sw Asbury Dr Topeka KS 66614-4466
Phone: (785) 354-9591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery of the Hand 2082S0105X 32551 Arizona
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 32551 Arizona
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 04-48701 Kansas

Profile Details

NPI number 1326087206
LBN Legal business name Balderrama, Dana S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Mar 4th, 2024 - about 2 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 1326087206 NPPES
Kansas MEDICAID 30005054300001
Kansas MEDICAID 857625

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