Balisky, Timothy Alan

Balisky, Timothy Alan is an individual health care provider with primary practice located at 10225 Hickorywood Hill Ave Ste B , Huntersville NC 28078-3431. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Balisky, Timothy Alan can be contacted via phone (704) 457-9292.

Contact Information

Primary practice address
10225 Hickorywood Hill Ave Ste B Huntersville NC 28078-3431
Phone: (704) 457-9292
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 5016133 North Carolina

Profile Details

NPI number 1881339182
LBN Legal business name Balisky, Timothy Alan
Credentials APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2022
Last updated May 2nd, 2022 - 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 1881339182 NPPES
North Carolina Other 5016133 BOARD OF NURSING

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