Balch, Brenda K.

Balch, Brenda K. is an individual health care provider with primary practice located at 53 C Granite Street , New London CT 06320. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Balch, Brenda K. can be contacted via phone (860) 442-8817.

Contact Information

Primary practice address
53 C Granite Street New London CT 06320
Fax: (860) 442-2011
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 031470 Connecticut

Profile Details

NPI number 1891895595
LBN Legal business name Balch, Brenda K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Jul 8th, 2007 - 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 1891895595 NPPES
Other NLP071 OXFORD
Other OV6152 OXFORD
Other 001314707-00 OXFORD
Other 010031470CT01 OXFORD

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