Balvitsch, Jessica A

Balvitsch, Jessica A is an individual health care provider with primary practice located at 414 N 7Th St , Bismarck ND 58501-4423. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Balvitsch, Jessica A can be contacted via phone (701) 323-6549.

Contact Information

Primary practice address
414 N 7Th St Bismarck ND 58501-4423
Phone: (701) 323-6549
Fax: (701) 323-5492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R25536 North Dakota

Profile Details

NPI number 1043316524
LBN Legal business name Balvitsch, Jessica A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Jan 11th, 2011 - about 15 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 1043316524 NPPES
North Dakota MEDICAID 19603

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