Balin, Jefferson I

Balin, Jefferson I is an individual health care provider with primary practice located at Lee St Fl 1 , Charlottesville VA 22908-0001. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Balin, Jefferson I can be contacted via phone (434) 982-0415.

Contact Information

Primary practice address
Lee St Fl 1 Charlottesville VA 22908-0001
Phone: (434) 982-0415
Fax: (434) 243-6999
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301086429 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 0101245354 Virginia

Profile Details

NPI number 1124143656
LBN Legal business name Balin, Jefferson I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2007
Last updated Jun 11th, 2009 - about 17 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 1124143656 NPPES
Virginia MEDICAID 1124143656

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