Balaklaw, Lee Adam
Balaklaw, Lee Adam is an sole proprietor health care provider with primary practice located at 1057 Meadowbrook Ln , Louisa KY 41230-9658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Balaklaw, Lee Adam can be contacted via phone (606) 638-4300.Contact Information
Primary practice address
1057 Meadowbrook Ln
Louisa KY 41230-9658
Phone: (606) 638-4300
Fax: (606) 638-0039
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 29892 | Kentucky |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 042-0008748 | Vermont |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 29892 | Kentucky |
Profile Details
| NPI number | 1396739736 |
|---|---|
| LBN Legal business name | Balaklaw, Lee Adam |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Mar 13th, 2013 - about 11 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 | 1396739736 | NPPES |
| West Virginia | MEDICAID | 0060588000 | |
| West Virginia | Other | 3257452 | |
| West Virginia | MEDICAID | 64298920 | |
| West Virginia | MEDICAID | 1019052 | |
| West Virginia | Other | 000000050355 |
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