Balster, Gary Allen

Balster, Gary Allen is an individual health care provider with primary practice located at 2218 S Patterson Blvd , Dayton OH 45409-1930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Balster, Gary Allen can be contacted via phone (937) 299-1918.

Contact Information

Primary practice address
2218 S Patterson Blvd Dayton OH 45409-1930
Phone: (937) 299-1918
Fax: (937) 299-4832
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 35-05-1153-B Ohio

Profile Details

NPI number 1881696300
LBN Legal business name Balster, Gary Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Mar 7th, 2023 - about last year

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 1881696300 NPPES
Ohio MEDICAID 0591248

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