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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518973833 NPPES
Pennsylvania MEDICAID 0005932120008

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