Balloch, Rachel Elise
Balloch, Rachel Elise is an sole proprietor health care provider with primary practice located at 100 Simsbury Rd Ste 209 , Avon CT 06001-3793. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Balloch, Rachel Elise can be contacted via phone (860) 674-0284.Contact Information
Primary practice address
100 Simsbury Rd Ste 209
Avon CT 06001-3793
Phone: (860) 674-0284
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 25MD00297200 | New Jersey |
| Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery | 213ES0103X | 000850 | Connecticut |
Profile Details
| NPI number | 1386808202 |
|---|---|
| LBN Legal business name | Balloch, Rachel Elise |
| Credentials | DPM, AACFAS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 10th, 2008 |
| Last updated | Nov 2nd, 2020 - about 4 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 | 1386808202 | NPPES |
| New Jersey | Other | 25MD00297200 | LICENSE |
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