Balog, Jennifer L

Balog, Jennifer L is an individual health care provider with primary practice located at 3020 Highway 35 , Hazlet NJ 07730-1505. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Balog, Jennifer L can be contacted via phone (732) 739-2302.

Contact Information

Primary practice address
3020 Highway 35 Hazlet NJ 07730-1505
Phone: (732) 739-2302
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 28RI03080500 New Jersey

Profile Details

NPI number 1881862365
LBN Legal business name Balog, Jennifer L
Credentials PHARM D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 18th, 2008
Last updated Feb 18th, 2008 - about 17 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 1881862365 NPPES
New Jersey MEDICAID 28RI03080500

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