Balla, Agnes

Balla, Agnes is an sole proprietor health care provider with primary practice located at 111 Colchester Ave Mailstop 233Mp1, Burlington VT 05401-1473. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Balla, Agnes can be contacted via phone (802) 847-2700.

Contact Information

Primary practice address
111 Colchester Ave Mailstop 233Mp1 Burlington VT 05401-1473
Phone: (802) 847-2700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X 042.0013986 Vermont

Profile Details

NPI number 1194143875
LBN Legal business name Balla, Agnes
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 31st, 2014
Last updated Oct 10th, 2018 - about 7 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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