Balzli, Joseph Thomas

Balzli, Joseph Thomas is an individual health care provider with primary practice located at 1521 22Nd Ave , Meridian MS 39301-4016. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck, which is considered as his primary health care specialty. Balzli, Joseph Thomas can be contacted via phone (601) 483-9358.

Contact Information

Primary practice address
1521 22Nd Ave Meridian MS 39301-4016
Phone: (601) 483-9358
Fax: (601) 483-9664
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery within the Head & Neck 207YX0007X 6695 Mississippi

Profile Details

NPI number 1083647770
LBN Legal business name Balzli, Joseph Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 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 1083647770 NPPES
Mississippi MEDICAID 00016214

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