Baltarowich, Lydia L.

Baltarowich, Lydia L. is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard, Detroit MI 48202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Toxicology, which is considered as her primary health care specialty. Baltarowich, Lydia L. can be contacted via phone (313) 916-2436.

Contact Information

Primary practice address
Henry Ford Health System 2799 West Grand Boulevard Detroit MI 48202
Phone: (313) 916-2436
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Toxicology 207PT0002X 4301041763 Michigan

Profile Details

NPI number 1932273547
LBN Legal business name Baltarowich, Lydia L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 17th, 2006
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 1932273547 NPPES
Other 010H262530 BLUE CROSS-BLUE CROSS
MEDICAID 140460510 BLUE CROSS-BLUE CROSS
Other LB041763 BLUE CROSS-BLUE CROSS
Other LB041763 BLUE CROSS-BLUE CROSS

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