Baloga, Michael C

Baloga, Michael C is an sole proprietor health care provider with primary practice located at 810 Wyoming Ave , West Pittston PA 18643-2741. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Baloga, Michael C can be contacted via phone (570) 654-4371.

Contact Information

Primary practice address
810 Wyoming Ave West Pittston PA 18643-2741
Phone: (570) 654-4371
Fax: (570) 654-0455
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003071L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC003071L Pennsylvania

Profile Details

NPI number 1679666580
LBN Legal business name Baloga, Michael C
Credentials DPM, PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 2nd, 2006
Last updated Jan 13th, 2014 - about 11 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 1679666580 NPPES
Pennsylvania MEDICAID 1028012370001

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