Balko, John
Balko, John is an individual health care provider with primary practice located at 102 N Keel Ridge Rd , Hermitage PA 16148-3440. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Balko, John can be contacted via phone (866) 758-4862.Contact Information
Primary practice address
102 N Keel Ridge Rd
Hermitage PA 16148-3440
Phone: (866) 758-4862
Fax: (330) 758-4886
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | SL001837L | Ohio |
Profile Details
| NPI number | 1932104742 |
|---|---|
| LBN Legal business name | Balko, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Jan 29th, 2013 - about 11 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 | 1932104742 | NPPES |
| Ohio | MEDICAID | 0746376 | |
| Ohio | MEDICAID | 0018232190001 |
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