Balken, Jacob Tyler

Balken, Jacob Tyler is an sole proprietor health care provider with primary practice located at 11300 Ne 2Nd Ave , Miami Shores FL 33161-6628. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Balken, Jacob Tyler can be contacted via phone (305) 899-3000.

Contact Information

Primary practice address
11300 Ne 2Nd Ave Miami Shores FL 33161-6628
Phone: (305) 899-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9486538 Florida
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1679272298
LBN Legal business name Balken, Jacob Tyler
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2023
Last updated Mar 2nd, 2023 - about 3 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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