Balotin, Robert Jay

Balotin, Robert Jay is an individual health care provider with primary practice located at 200 W Academy Street , Gainesville GA 30501. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Balotin, Robert Jay can be contacted via phone (770) 282-8820.

Contact Information

Primary practice address
200 W Academy Street Gainesville GA 30501
Phone: (770) 282-8820
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 043163 Georgia

Profile Details

NPI number 1205924537
LBN Legal business name Balotin, Robert Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Jan 12th, 2021 - about 3 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 1205924537 NPPES
Georgia MEDICAID 000737107E
Georgia Other P00298084
Georgia Other 581177261A
Georgia MEDICAID 000737107N

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