Balon, Michael

Balon, Michael is an individual health care provider with primary practice located at 26850 Providence Pkwy Suite 370, Novi MI 48374-1213. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Balon, Michael can be contacted via phone (248) 465-4160.

Contact Information

Primary practice address
26850 Providence Pkwy Suite 370 Novi MI 48374-1213
Phone: (248) 465-4160
Fax: (248) 465-4525
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301407487 Michigan

Profile Details

NPI number 1144297805
LBN Legal business name Balon, Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2006
Last updated May 21st, 2014 - about 10 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 1144297805 NPPES
Michigan MEDICAID 4619317

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