Balla, Joseph

Balla, Joseph is an individual health care provider with primary practice located at 107 Sunnybrook Rd , Raleigh NC 27610-1827. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Balla, Joseph can be contacted via phone (919) 250-1260.

Contact Information

Primary practice address
107 Sunnybrook Rd Raleigh NC 27610-1827
Phone: (919) 250-1260
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 38893 North Carolina

Profile Details

NPI number 1407854730
LBN Legal business name Balla, Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2005
Last updated Jan 31st, 2014 - about 11 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 1407854730 NPPES
North Carolina MEDICAID 8912911

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