Balko, Gregory Russell
Balko, Gregory Russell is an sole proprietor health care provider with primary practice located at 401 Castle Creek Rd , Aspen CO 81611-1159. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Balko, Gregory Russell can be contacted via phone (970) 544-1228.Contact Information
Primary practice address
401 Castle Creek Rd
Aspen CO 81611-1159
Phone: (970) 544-1228
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 37036 | Colorado |
Profile Details
| NPI number | 1932103405 |
|---|---|
| LBN Legal business name | Balko, Gregory Russell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 11th, 2005 |
| Last updated | Jun 15th, 2011 - about 13 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 | 1932103405 | NPPES |
| Colorado | MEDICAID | 92854532 |
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