Balet, Theresa Amelia

Balet, Theresa Amelia is an individual health care provider with primary practice located at 1845 S Townsend Ave , Montrose CO 81401-5448. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Balet, Theresa Amelia can be contacted via phone (970) 252-5015.

Contact Information

Primary practice address
1845 S Townsend Ave Montrose CO 81401-5448
Fax: (970) 964-2499
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 66777 Colorado

Profile Details

NPI number 1831270438
LBN Legal business name Balet, Theresa Amelia
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Apr 11th, 2016 - about 9 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 1831270438 NPPES
Colorado MEDICAID 02130751
Colorado Other M0090407
Colorado Other 363L00000X

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