Balles, Mark W
Balles, Mark W is an sole proprietor health care provider with primary practice located at 195 Fore River Pkwy Ste 480 , Portland ME 04102-2787. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Balles, Mark W can be contacted via phone (207) 773-3937.Contact Information
Primary practice address
195 Fore River Pkwy Ste 480
Portland ME 04102-2787
Phone: (207) 773-3937
Fax: (207) 773-0801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 014047 | Maine |
Profile Details
| NPI number | 1780654392 |
|---|---|
| LBN Legal business name | Balles, Mark W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 25th, 2006 |
| Last updated | Jan 7th, 2010 - about 15 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 | 1780654392 | NPPES |
| Maine | MEDICAID | 130920000 | |
| Maine | Other | R0007 | |
| Maine | MEDICAID | 298300099 | |
| Maine | Other | 033680 |
Popular Providers
-
Miller, Brooke E
15 Lowell St , Portland ME 04102-2726 -
Hamzavi, Sirus
15 Lowell St , Portland ME 04102-2726 -
Miller, Frederick S
15 Lowell St , Portland ME 04102-2748 -
Libby, Curtis Mackay
15 Lowell St , Portland ME 04102-2748 -
Parnes, Aaron Jacob
53 Sewall St , Portland ME 04102-2625 -
Moore, Jeffrey K
161 Marginal Way , Portland ME 04101-2438 -
Bazarian, Richard A
161 Marginal Way , Portland ME 04101-2438 -
Berman, Jeffrey L
15 Lowell St , Portland ME 04102-2748