Balestrieri, Jay A

Balestrieri, Jay A is an individual health care provider with primary practice located at 400 W 17Th St , Pueblo CO 81003-2649. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Balestrieri, Jay A can be contacted via phone (719) 296-6872.

Contact Information

Primary practice address
400 W 17Th St Pueblo CO 81003-2649
Phone: (719) 296-6872
Fax: (719) 583-0688
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 109032 Colorado

Profile Details

NPI number 1063554426
LBN Legal business name Balestrieri, Jay A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2007
Last updated Nov 14th, 2007 - about 18 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063554426 NPPES
Colorado MEDICAID 69325561

Popular Providers