Balcom, Anthony H

Balcom, Anthony H is an individual health care provider with primary practice located at 5250 S 108Th St , Hales Corners WI 53130-1321. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Balcom, Anthony H can be contacted via phone (414) 525-2400.

Contact Information

Primary practice address
5250 S 108Th St Hales Corners WI 53130-1321
Phone: (414) 525-2400
Fax: (414) 525-2401
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 26912 Wisconsin
Allopathic & Osteopathic Physicians / Pediatric Urology 2088P0231X 26912 Wisconsin

Profile Details

NPI number 1487604906
LBN Legal business name Balcom, Anthony H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 19th, 2021 - about 3 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 1487604906 NPPES
Wisconsin MEDICAID 1487604906
Wisconsin Other 007000261M

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