Balestrero, Robert Louis

Balestrero, Robert Louis is an individual health care provider with primary practice located at 1100 E Michigan Ave , Grayling MI 49738-1312. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Balestrero, Robert Louis can be contacted via phone (989) 348-0859.

Contact Information

Primary practice address
1100 E Michigan Ave Grayling MI 49738-1312
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD061337L Pennsylvania

Profile Details

NPI number 1790737070
LBN Legal business name Balestrero, Robert Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2006
Last updated Mar 7th, 2023 - about last year

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 1790737070 NPPES
Michigan Other 3002012141 BLUE SHIELD
Michigan MEDICAID 104990023 BLUE SHIELD

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