Balon, Jacqueline

Balon, Jacqueline is an individual health care provider with primary practice located at 30055 Northwestern Hwy Ste L50, Farmington Hills MI 48334-3230. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Balon, Jacqueline can be contacted via phone (248) 626-8200.

Contact Information

Primary practice address
30055 Northwestern Hwy Ste L50 Farmington Hills MI 48334-3230
Phone: (248) 626-8200
Fax: (248) 737-9287
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704100757 Michigan

Profile Details

NPI number 1306800933
LBN Legal business name Balon, Jacqueline
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2006
Last updated Sep 12th, 2007 - 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 1306800933 NPPES
Michigan MEDICAID 4362714
Michigan Other 13834
Michigan MEDICAID 4790050
Michigan Other 0866685
Michigan Other P30273

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