Balachandran, Jay Shankar
Balachandran, Jay Shankar is an individual health care provider with primary practice located at 13133 N Port Washington Rd Suite 104, Mequon WI 53097-2419. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Balachandran, Jay Shankar can be contacted via phone (262) 243-5044.Contact Information
Primary practice address
13133 N Port Washington Rd Suite 104
Mequon WI 53097-2419
Phone: (262) 243-5044
Fax: (262) 243-2510
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 64930 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 64930 | Wisconsin |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | 64930 | Wisconsin |
Profile Details
| NPI number | 1396786273 |
|---|---|
| LBN Legal business name | Balachandran, Jay Shankar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Nov 7th, 2016 - about 9 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 | 1396786273 | NPPES |
| Wisconsin | MEDICAID | 1396786273 |
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