Balos, Debra
Balos, Debra is an individual health care provider with primary practice located at 1650 W Oak St Ste 110 , Zionsville IN 46077-3835. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Balos, Debra can be contacted via phone (317) 777-6400.Contact Information
Primary practice address
1650 W Oak St Ste 110
Zionsville IN 46077-3835
Phone: (317) 777-6400
Fax: (317) 777-6410
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | OS013498 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02003805A | Indiana |
Profile Details
| NPI number | 1306896923 |
|---|---|
| LBN Legal business name | Balos, Debra |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 12th, 2006 |
| Last updated | Nov 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306896923 | NPPES |
| Pennsylvania | MEDICAID | 1019591580001 | |
| Pennsylvania | MEDICAID | 201016980 |
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