Balstad, Paul David

Balstad, Paul David is an individual health care provider with primary practice located at 1400 S Potomac St Suite 210, Aurora CO 80012-4528. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Balstad, Paul David can be contacted via phone (303) 671-0000.

Contact Information

Primary practice address
1400 S Potomac St Suite 210 Aurora CO 80012-4528
Phone: (303) 671-0000
Fax: (303) 671-2879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 13730 Colorado

Profile Details

NPI number 1578544805
LBN Legal business name Balstad, Paul David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2005
Last updated Jul 8th, 2007 - about 19 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 1578544805 NPPES
Colorado MEDICAID CO01137207

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