Balderston, Richard Atwater

Balderston, Richard Atwater is an individual health care provider with primary practice located at 601 Walnut St Suite L50, Philadelphia PA 19106-3323. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Balderston, Richard Atwater can be contacted via phone (215) 409-9300.

Contact Information

Primary practice address
601 Walnut St Suite L50 Philadelphia PA 19106-3323
Phone: (215) 409-9300
Fax: (215) 409-9365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X MD020871E Pennsylvania
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 25MA06837200 New Jersey

Profile Details

NPI number 1265476386
LBN Legal business name Balderston, Richard Atwater
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Feb 18th, 2013 - about 11 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 1265476386 NPPES
Pennsylvania Other 0052425000 I.B.C.
Pennsylvania Other 2069868 I.B.C.

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