Balkovich, Michael Eric

Balkovich, Michael Eric is an sole proprietor health care provider with primary practice located at 5050 Ne Hoyt St Suite 515, Portland OR 97213-2991. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Balkovich, Michael Eric can be contacted via phone (503) 236-7743.

Contact Information

Primary practice address
5050 Ne Hoyt St Suite 515 Portland OR 97213-2991
Phone: (503) 236-7743
Fax: (503) 236-7031
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X MD13984 Oregon

Profile Details

NPI number 1134296791
LBN Legal business name Balkovich, Michael Eric
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 29th, 2006
Last updated Dec 30th, 2016 - about 9 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 1134296791 NPPES
Oregon MEDICAID 221762

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