Balthis, Lenora G.

Balthis, Lenora G. is an sole proprietor health care provider with primary practice located at 201 Garden Cv , Ridgeland MS 39157-3555. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Balthis, Lenora G. can be contacted via phone (601) 832-0542.

Contact Information

Primary practice address
201 Garden Cv Ridgeland MS 39157-3555
Phone: (601) 832-0542
Fax: (601) 605-1966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 2393-88 Mississippi

Profile Details

NPI number 1558443481
LBN Legal business name Balthis, Lenora G.
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2006
Last updated Jul 9th, 2007 - about 18 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 1558443481 NPPES
Mississippi Other 2393-88 DENTAL LICENSE NUMBER
Mississippi Other 64-0816017 DENTAL LICENSE NUMBER
Mississippi Other 856340 DENTAL LICENSE NUMBER
Mississippi MEDICAID 00660016 DENTAL LICENSE NUMBER

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