Baljak, Elizabeth Anne

Baljak, Elizabeth Anne is an individual health care provider with primary practice located at 8535 Refugee Rd , Pickerington OH 43147-9625. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baljak, Elizabeth Anne can be contacted via phone (740) 205-2007.

Contact Information

Primary practice address
8535 Refugee Rd Pickerington OH 43147-9625
Fax: (877) 384-2597
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.11381-NP Ohio

Profile Details

NPI number 1215257175
LBN Legal business name Baljak, Elizabeth Anne
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2010
Last updated Apr 25th, 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 1215257175 NPPES
Ohio MEDICAID 3075014

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