Balmaseda, Carlo P

Balmaseda, Carlo P is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Balmaseda, Carlo P can be contacted via phone (317) 517-4200.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy Avon IN 46123-7085
Phone: (317) 517-4200
Fax: (317) 517-4200
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28199938A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28199938A Indiana

Profile Details

NPI number 1114583564
LBN Legal business name Balmaseda, Carlo P
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2019
Last updated Jun 20th, 2023 - about last year

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 1114583564 NPPES
Indiana MEDICAID 1102564235
Indiana Other 264430H17
Indiana Other 1102564235

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