Balderach, Ronald R.
Balderach, Ronald R. is an individual health care provider with primary practice located at 631 N Broad Street Ext , Grove City PA 16127-4603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Balderach, Ronald R. can be contacted via phone (724) 450-7196.Contact Information
Primary practice address
631 N Broad Street Ext
Grove City PA 16127-4603
Phone: (724) 450-7196
Fax: (724) 450-7179
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD-016672-E | Pennsylvania |
Profile Details
NPI number | 1518973833 |
---|---|
LBN Legal business name | Balderach, Ronald R. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 31st, 2006 |
Last updated | May 21st, 2019 - 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 | 1518973833 | NPPES |
Pennsylvania | MEDICAID | 0005932120008 |
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