Balicek, Yevgeni
Balicek, Yevgeni is an individual health care provider with primary practice located at 2010 Industrial Park Rd , Espanola NM 87532-3600. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is his primary health care specialty. Balicek, Yevgeni can be contacted via phone (505) 753-7395.Contact Information
Primary practice address
2010 Industrial Park Rd
Espanola NM 87532-3600
Phone: (505) 753-7395
Fax: (505) 753-8373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | M-08056 | New Mexico |
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | M-08056 | New Mexico |
Profile Details
| NPI number | 1053702548 |
|---|---|
| LBN Legal business name | Balicek, Yevgeni |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2015 |
| Last updated | Jun 25th, 2024 - 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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