Balacko, John A
Balacko, John A is an individual health care provider with primary practice located at 1624 Pacific Ave Ste B , Natrona Heights PA 15065-2145. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Balacko, John A can be contacted via phone (724) 226-3345.Contact Information
Primary practice address
1624 Pacific Ave Ste B
Natrona Heights PA 15065-2145
Phone: (724) 226-3345
Fax: (724) 226-2415
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD036R70E | Pennsylvania |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD036270E | Pennsylvania |
Profile Details
| NPI number | 1942269311 |
|---|---|
| LBN Legal business name | Balacko, John A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Oct 1st, 2020 - about 4 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 | 1942269311 | NPPES |
| West Virginia | MEDICAID | 3810008241 | |
| West Virginia | MEDICAID | 0014154670004 | |
| West Virginia | MEDICAID | 2745579 | |
| West Virginia | MEDICAID | 0014154670007 |
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