Balcom, William B

Balcom, William B is an individual health care provider with primary practice located at 123 Summer Street Suite 320, Worcester MA 01608. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Balcom, William B can be contacted via phone (508) 368-3140.

Contact Information

Primary practice address
123 Summer Street Suite 320 Worcester MA 01608
Fax: (508) 368-3143
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 77380 Massachusetts

Profile Details

NPI number 1639159841
LBN Legal business name Balcom, William B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jul 25th, 2008 - about 16 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 1639159841 NPPES
Massachusetts MEDICAID 2115778

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