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
Phone: (989) 348-0859
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1790737070 | NPPES |
Michigan | Other | 3002012141 | BLUE SHIELD |
Michigan | MEDICAID | 104990023 | BLUE SHIELD |
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