Ballesteros, Jaime T

Ballesteros, Jaime T is an individual health care provider with primary practice located at G3239 Beecher Rd Ste C, Flint MI 48532-3616. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ballesteros, Jaime T can be contacted via phone (810) 732-9222.

Contact Information

Primary practice address
G3239 Beecher Rd Ste C Flint MI 48532-3616
Fax: (810) 732-4344
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 4301046964 Michigan

Profile Details

NPI number 1437154432
LBN Legal business name Ballesteros, Jaime T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Jun 3rd, 2014 - about 10 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 1437154432 NPPES
Michigan MEDICAID 4211863

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