Baloga, Nicholas Mark

Baloga, Nicholas Mark is an individual health care provider with primary practice located at 1932 Alcoa Hwy Ste 360, Knoxville TN 37920-1509. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Baloga, Nicholas Mark can be contacted via phone (865) 524-1869.

Contact Information

Primary practice address
1932 Alcoa Hwy Ste 360 Knoxville TN 37920-1509
Phone: (865) 524-1869
Fax: (865) 544-6533
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1801 Tennessee

Profile Details

NPI number 1366764276
LBN Legal business name Baloga, Nicholas Mark
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2010
Last updated Nov 20th, 2019 - about 7 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 1366764276 NPPES
Tennessee MEDICAID 1518131

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