Baltes, Polly

Baltes, Polly is an individual health care provider with primary practice located at 700 S Stanfield Rd Ste A , Troy OH 45373. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Baltes, Polly can be contacted via phone (937) 339-5355.

Contact Information

Primary practice address
700 S Stanfield Rd Ste A Troy OH 45373
Fax: (937) 339-3056
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APRN.CNP.19230 Ohio

Profile Details

NPI number 1396198321
LBN Legal business name Baltes, Polly
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2016
Last updated Nov 19th, 2020 - about 4 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 1396198321 NPPES
Ohio MEDICAID 0193358

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