Balos, Debra

Balos, Debra is an individual health care provider with primary practice located at 1650 W Oak St Ste 110 , Zionsville IN 46077-3835. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Balos, Debra can be contacted via phone (317) 777-6400.

Contact Information

Primary practice address
1650 W Oak St Ste 110 Zionsville IN 46077-3835
Fax: (317) 777-6410
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X OS013498 Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 02003805A Indiana

Profile Details

NPI number 1306896923
LBN Legal business name Balos, Debra
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Nov 24th, 2020 - about 5 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 1306896923 NPPES
Pennsylvania MEDICAID 1019591580001
Pennsylvania MEDICAID 201016980

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