Baladad, Mary J
Baladad, Mary J is an individual health care provider with primary practice located at 7905 Calumet Ave , Munster IN 46321-2549. She recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medical Services, which is considered as her primary health care specialty. Baladad, Mary J can be contacted via phone (219) 836-5800.Contact Information
Primary practice address
7905 Calumet Ave
Munster IN 46321-2549
Phone: (219) 836-5800
Fax: (219) 836-3048
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medical Services | 207PE0004X | 02001844A | Indiana |
Profile Details
| NPI number | 1982645883 |
|---|---|
| LBN Legal business name | Baladad, Mary J |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 10th, 2006 |
| Last updated | Mar 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982645883 | NPPES |
| Indiana | MEDICAID | 200171740 |
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