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
Phone: (409) 763-4135
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1164626768 | NPPES |
Other | 2587002690 | MYUTMB 2587002690-COMMERCIAL NUMBER |
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