Balko, Jason

Balko, Jason is an individual health care provider with primary practice located at 101 Stadium Dr , Morgantown WV 26506-7911. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Balko, Jason can be contacted via phone (304) 598-4000.

Contact Information

Primary practice address
101 Stadium Dr Morgantown WV 26506-7911
Phone: (304) 598-4000
Fax: (304) 293-6963
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 50825 West Virginia

Profile Details

NPI number 1952378168
LBN Legal business name Balko, Jason
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 7th, 2006
Last updated Jul 8th, 2007 - about 17 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 1952378168 NPPES
West Virginia MEDICAID 2601038000

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