Ballesteros, Enrique
Ballesteros, Enrique is an individual health care provider with primary practice located at 263 Farmington Ave , Farmington CT 06030-3985. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Ballesteros, Enrique can be contacted via phone (860) 679-2980.Contact Information
Primary practice address
263 Farmington Ave
Farmington CT 06030-3985
Phone: (860) 679-2980
Fax: (860) 679-4334
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 039969 | Connecticut |
Profile Details
| NPI number | 1972594497 |
|---|---|
| LBN Legal business name | Ballesteros, Enrique |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 3rd, 2005 |
| Last updated | Nov 7th, 2022 - about 2 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 | 1972594497 | NPPES |
| Connecticut | MEDICAID | 1972594497 |
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