Balomenos, Alexis Robin

Balomenos, Alexis Robin is an individual health care provider with primary practice located at 58115 Main St , New Haven MI 48048-2686. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Balomenos, Alexis Robin can be contacted via phone (586) 749-4444.

Contact Information

Primary practice address
58115 Main St New Haven MI 48048-2686
Phone: (586) 749-4444
Fax: (586) 749-9114
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301066394 Michigan

Profile Details

NPI number 1477569903
LBN Legal business name Balomenos, Alexis Robin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Aug 29th, 2011 - about 14 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 1477569903 NPPES
Michigan MEDICAID 4129423

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