Ballesteros, Juan R

Ballesteros, Juan R is an individual health care provider with primary practice located at 160 E Erie Ave , Philadelphia PA 19134-1011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Ballesteros, Juan R can be contacted via phone (215) 427-5202.

Contact Information

Primary practice address
160 E Erie Ave Philadelphia PA 19134-1011
Phone: (215) 427-5202
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X MD055998L Pennsylvania

Profile Details

NPI number 1114915139
LBN Legal business name Ballesteros, Juan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2005
Last updated Feb 8th, 2024 - about 7 months 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 1114915139 NPPES
Pennsylvania MEDICAID 0017597080005
Pennsylvania MEDICAID 001759708

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