Baltzer, Jeffrey Wayne

Baltzer, Jeffrey Wayne is an individual health care provider with primary practice located at 732 N 3Rd St , Leesburg FL 34748-4442. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Baltzer, Jeffrey Wayne can be contacted via phone (352) 365-4575.

Contact Information

Primary practice address
732 N 3Rd St Leesburg FL 34748-4442
Phone: (352) 365-4575
Fax: (352) 273-8172
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD028023E Pennsylvania
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 188249-1 New York
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X ME124617 Florida

Profile Details

NPI number 1760454284
LBN Legal business name Baltzer, Jeffrey Wayne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Feb 23rd, 2022 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1760454284 NPPES
Pennsylvania MEDICAID 0017380000001
Pennsylvania MEDICAID 01927128
Pennsylvania MEDICAID 015363200
Pennsylvania Other 220029208
Pennsylvania Other CC9269
Pennsylvania Other GU039827

Popular Providers