Balthrop, Erica R

Balthrop, Erica R is an individual health care provider with primary practice located at 2000 N State St , Clarksdale MS 38614-6100. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Balthrop, Erica R can be contacted via phone (662) 627-7361.

Contact Information

Primary practice address
2000 N State St Clarksdale MS 38614-6100
Phone: (662) 627-7361
Fax: (662) 627-1158
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 16812 Mississippi

Profile Details

NPI number 1366438772
LBN Legal business name Balthrop, Erica R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2005
Last updated Jan 11th, 2023 - about 2 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 1366438772 NPPES
Mississippi MEDICAID 00122260
Mississippi Other 149982001
Mississippi Other 82606

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