Adam, Balkozar S

Adam, Balkozar S is an individual health care provider with primary practice located at 1300 E Bradford Pkwy , Springfield MO 65804-4264. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is her primary health care specialty. Adam, Balkozar S can be contacted via phone (417) 761-5000.

Contact Information

Primary practice address
1300 E Bradford Pkwy Springfield MO 65804-4264
Phone: (417) 761-5000
Fax: (417) 761-5011
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X R5G05 Missouri
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X R5G05 Missouri

Profile Details

NPI number 1053470948
LBN Legal business name Adam, Balkozar S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Aug 2nd, 2021 - about 3 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 1053470948 NPPES
Missouri MEDICAID 203506407

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