Balette, Charles

Balette, Charles is an individual health care provider with primary practice located at 1119 S Tyler St , Covington LA 70433. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Balette, Charles can be contacted via phone (985) 875-9166.

Contact Information

Primary practice address
1119 S Tyler St Covington LA 70433
Phone: (985) 875-9166
Fax: (985) 875-9170
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12664R Louisiana

Profile Details

NPI number 1851358816
LBN Legal business name Balette, Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2006
Last updated Jun 28th, 2018 - about 8 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 1851358816 NPPES
Louisiana MEDICAID 1539571

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