Balbort, Liberty Ann

Balbort, Liberty Ann is an individual health care provider with primary practice located at 505 E Grant St Suite 202, Macomb IL 61455-3352. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Balbort, Liberty Ann can be contacted via phone (309) 833-1729.

Contact Information

Primary practice address
505 E Grant St Suite 202 Macomb IL 61455-3352
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 036126799 Illinois

Profile Details

NPI number 1356597090
LBN Legal business name Balbort, Liberty Ann
Credentials MD, MPH
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2008
Last updated Mar 6th, 2014 - 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.

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