Balaban, Richard Melvin
Balaban, Richard Melvin is an sole proprietor health care provider with primary practice located at 101 W Kirkwood Ave Suite 213, Bloomington IN 47404-6129. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Balaban, Richard Melvin can be contacted via phone (812) 332-9200.Contact Information
Primary practice address
101 W Kirkwood Ave Suite 213
Bloomington IN 47404-6129
Phone: (812) 332-9200
Fax: (812) 334-2522
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 20010327 | Indiana |
Profile Details
| NPI number | 1558342006 |
|---|---|
| LBN Legal business name | Balaban, Richard Melvin |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2005 |
| Last updated | Oct 30th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1558342006 | NPPES |
| Indiana | Other | 000000235771 | ANTHEM |
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