Balaschak, Joseph Andrew

Balaschak, Joseph Andrew is an individual health care provider with primary practice located at 216 Dibert Street , Johnstown PA 15901. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Balaschak, Joseph Andrew can be contacted via phone (814) 535-7681.

Contact Information

Primary practice address
216 Dibert Street Johnstown PA 15901
Fax: (814) 539-5708
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X DS020190L Pennsylvania

Profile Details

NPI number 1659458396
LBN Legal business name Balaschak, Joseph Andrew
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jan 4th, 2008 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659458396 NPPES
Pennsylvania MEDICAID 00011333510001
Pennsylvania MEDICAID 0005398260001

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