Balboa Blanco, Jose

Balboa Blanco, Jose is an sole proprietor health care provider with primary practice located at 18761 Chestnut Ct , Mokena IL 60448-9501. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Surgical Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Balboa Blanco, Jose can be contacted via phone (786) 296-5425.

Contact Information

Primary practice address
18761 Chestnut Ct Mokena IL 60448-9501
Phone: (786) 296-5425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Surgical Assistant 246ZC0007X 15-483 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 238.000547 Illinois

Profile Details

NPI number 1902252125
LBN Legal business name Balboa Blanco, Jose
Credentials SURGICAL ASSISTANT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2016
Last updated Jul 7th, 2022 - about 2 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 1902252125 NPPES
Florida Other B411427823290 DRIVER LICENCE

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