Balkovec, Dale A

Balkovec, Dale A is an individual health care provider with primary practice located at 15003 Turney Rd , Maple Heights OH 44137-4730. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Balkovec, Dale A can be contacted via phone (216) 663-7753.

Contact Information

Primary practice address
15003 Turney Rd Maple Heights OH 44137-4730
Phone: (216) 663-7753
Fax: (216) 663-0897
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 34003692 Ohio

Profile Details

NPI number 1952495970
LBN Legal business name Balkovec, Dale A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Jan 18th, 2011 - about 15 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 1952495970 NPPES
Ohio Other 341682240BA02 EMERALD
Ohio Other 9000017231 EMERALD
Ohio Other 000000136583 EMERALD
Ohio MEDICAID 0588645 EMERALD
Ohio Other 080039459 EMERALD
Ohio Other T03692 EMERALD

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