Balt, David A
Balt, David A is an individual health care provider with primary practice located at 1440 N Main St , Spearfish SD 57783-1505. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Balt, David A can be contacted via phone (605) 644-4004.Contact Information
Primary practice address
1440 N Main St
Spearfish SD 57783-1505
Phone: (605) 644-4004
Fax: (605) 644-4006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 37593 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 1971 | South Dakota |
Profile Details
| NPI number | 1457315038 |
|---|---|
| LBN Legal business name | Balt, David A |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 12th, 2006 |
| Last updated | Jan 25th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457315038 | NPPES |
| Minnesota | MEDICAID | 791313300 |
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