Balbastro, Jeeathbell Nonesupplied

Balbastro, Jeeathbell Nonesupplied is an individual health care provider with primary practice located at 500 Tiki Dr Apt 204 , Galveston TX 77554-7152. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Balbastro, Jeeathbell Nonesupplied can be contacted via phone (409) 763-4135.

Contact Information

Primary practice address
500 Tiki Dr Apt 204 Galveston TX 77554-7152
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X BP10019928 Texas

Profile Details

NPI number 1164626768
LBN Legal business name Balbastro, Jeeathbell Nonesupplied
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Jul 1st, 2008 - about 16 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 1164626768 NPPES
Other 2587002690 MYUTMB 2587002690-COMMERCIAL NUMBER

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