Balconis, Andrea J
Balconis, Andrea J is an individual health care provider with primary practice located at 706 North 7Th Street , Ft Pierce FL 34950. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Balconis, Andrea J can be contacted via phone (772) 469-9900.Contact Information
Primary practice address
706 North 7Th Street
Ft Pierce FL 34950
Phone: (772) 469-9900
Fax: (772) 468-2364
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | ME0063483 | Florida |
Profile Details
NPI number | 1942213186 |
---|---|
LBN Legal business name | Balconis, Andrea J |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 15th, 2006 |
Last updated | Jul 15th, 2008 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942213186 | NPPES |
Florida | MEDICAID | 265689200 |
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