Baltarowich, Lydia L.
Baltarowich, Lydia L. is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard, Detroit MI 48202. She recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Toxicology, which is considered as her primary health care specialty. Baltarowich, Lydia L. can be contacted via phone (313) 916-2436.Contact Information
Primary practice address
Henry Ford Health System 2799 West Grand Boulevard
Detroit MI 48202
Phone: (313) 916-2436
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Medical Toxicology | 207PT0002X | 4301041763 | Michigan |
Profile Details
NPI number | 1932273547 |
---|---|
LBN Legal business name | Baltarowich, Lydia L. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 17th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1932273547 | NPPES |
Other | 010H262530 | BLUE CROSS-BLUE CROSS | |
MEDICAID | 140460510 | BLUE CROSS-BLUE CROSS | |
Other | LB041763 | BLUE CROSS-BLUE CROSS | |
Other | LB041763 | BLUE CROSS-BLUE CROSS |
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