Balaban, David Howard

Balaban, David Howard is an individual health care provider with primary practice located at 1139 E High St , Charlottesville VA 22902-4856. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Balaban, David Howard can be contacted via phone (434) 817-8484.

Contact Information

Primary practice address
1139 E High St Charlottesville VA 22902-4856
Phone: (434) 817-8484
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101049501 Virginia

Profile Details

NPI number 1225035959
LBN Legal business name Balaban, David Howard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2005
Last updated Jan 28th, 2009 - 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 1225035959 NPPES
Virginia MEDICAID 005802431

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