Balke, Len Douglas
Balke, Len Douglas is an individual health care provider with primary practice located at 143 N Mccormick St Ste 103 , Prescott AZ 86301-2725. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Balke, Len Douglas can be contacted via phone (928) 235-6346.Contact Information
Primary practice address
143 N Mccormick St Ste 103
Prescott AZ 86301-2725
Phone: (928) 235-6346
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 46880 | Arizona |
Profile Details
| NPI number | 1992787527 |
|---|---|
| LBN Legal business name | Balke, Len Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 18th, 2005 |
| Last updated | Oct 4th, 2016 - about 9 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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