Balmadrid, Luz L

Balmadrid, Luz L is an individual health care provider with primary practice located at 107 E Highland Dr , Oconto Falls WI 54154-1002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Balmadrid, Luz L can be contacted via phone (920) 846-3092.

Contact Information

Primary practice address
107 E Highland Dr Oconto Falls WI 54154-1002
Phone: (920) 846-3092
Fax: (920) 846-8313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33603-020 Wisconsin

Profile Details

NPI number 1477532943
LBN Legal business name Balmadrid, Luz L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2006
Last updated Aug 24th, 2020 - about 6 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 1477532943 NPPES
Wisconsin Other 1326349135 CMH SB NPI
Wisconsin Other 1851477913 CMH SB NPI
Wisconsin Other 1467583096 CMH SB NPI
Wisconsin MEDICAID 31872600 CMH SB NPI

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