Balet, Theresa Amelia
Balet, Theresa Amelia is an individual health care provider with primary practice located at 1845 S Townsend Ave , Montrose CO 81401-5448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Balet, Theresa Amelia can be contacted via phone (970) 252-5015.Contact Information
Primary practice address
1845 S Townsend Ave
Montrose CO 81401-5448
Phone: (970) 252-5015
Fax: (970) 964-2499
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 66777 | Colorado |
Profile Details
| NPI number | 1831270438 |
|---|---|
| LBN Legal business name | Balet, Theresa Amelia |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 18th, 2006 |
| Last updated | Apr 11th, 2016 - about 10 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 | 1831270438 | NPPES |
| Colorado | MEDICAID | 02130751 | |
| Colorado | Other | M0090407 | |
| Colorado | Other | 363L00000X |
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