Balfour, Eric L

Balfour, Eric L is an individual health care provider with primary practice located at 2969 Curran Dr N , Jackson MS 39216-4121. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Balfour, Eric L can be contacted via phone (601) 200-3070.

Contact Information

Primary practice address
2969 Curran Dr N Jackson MS 39216-4121
Fax: (601) 200-3172
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 18896 Mississippi

Profile Details

NPI number 1861442436
LBN Legal business name Balfour, Eric L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Feb 13th, 2023 - about 2 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 1861442436 NPPES
Mississippi MEDICAID 00671542
Mississippi MEDICAID 207209909
Mississippi Other 83369
Mississippi MEDICAID 000671542
Mississippi MEDICAID 3329068
Mississippi Other 1861442436
Mississippi Other 4108904

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