Balch, Robert Judson
Balch, Robert Judson is an sole proprietor health care provider with primary practice located at 4319 Camp Bowie Blvd , Fort Worth TX 76107. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation. Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation is his primary health care specialty. Balch, Robert Judson can be contacted via phone (817) 984-6210.Contact Information
Primary practice address
4319 Camp Bowie Blvd
Fort Worth TX 76107
Phone: (817) 984-6210
Fax: (817) 984-6216
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | M6513 | Texas |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | M6513 | Texas |
Profile Details
NPI number | 1477751774 |
---|---|
LBN Legal business name | Balch, Robert Judson |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 7th, 2007 |
Last updated | Jun 22nd, 2018 - about 6 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 | 1477751774 | NPPES |
Texas | Other | 0068WB | BCBS |
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