Balis, Theodora G
Balis, Theodora G is an individual health care provider with primary practice located at 701 W Pratt St 3Rd. Flr, Baltimore MD 21201-1023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as her primary health care specialty. Balis, Theodora G can be contacted via phone (410) 328-5881.Contact Information
Primary practice address
701 W Pratt St 3Rd. Flr
Baltimore MD 21201-1023
Phone: (410) 328-5881
Fax: (410) 328-8552
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | D0051678 | Maryland |
Profile Details
| NPI number | 1649291717 |
|---|---|
| LBN Legal business name | Balis, Theodora G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2006 |
| Last updated | Feb 16th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649291717 | NPPES |
| Maryland | MEDICAID | 100505700 |
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