Ballesteros, Juan R
Ballesteros, Juan R is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134-1011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Ballesteros, Juan R can be contacted via phone (215) 427-5202.Contact Information
Primary practice address
160 E Erie Ave
Philadelphia PA 19134-1011
Phone: (215) 427-5202
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | MD055998L | Pennsylvania |
Profile Details
| NPI number | 1114915139 |
|---|---|
| LBN Legal business name | Ballesteros, Juan R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 13th, 2005 |
| Last updated | Feb 8th, 2024 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114915139 | NPPES |
| Pennsylvania | MEDICAID | 0017597080005 | |
| Pennsylvania | MEDICAID | 001759708 |
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