Balduf, Jeromy Lee
Balduf, Jeromy Lee is an sole proprietor health care provider with primary practice located at 6400 Leora Ln , Ottawa Lake MI 49267-9627. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Balduf, Jeromy Lee can be contacted via phone (419) 356-6458.Contact Information
Primary practice address
6400 Leora Ln
Ottawa Lake MI 49267-9627
Phone: (419) 356-6458
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1003561309 |
|---|---|
| LBN Legal business name | Balduf, Jeromy Lee |
| Credentials | PA-C, RDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 15th, 2022 |
| Last updated | Feb 15th, 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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