Baltierra, David A
Baltierra, David A is an individual health care provider with primary practice located at 31 Taylor St , Harpers Ferry WV 25425-9519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baltierra, David A can be contacted via phone (304) 535-6343.Contact Information
Primary practice address
31 Taylor St
Harpers Ferry WV 25425-9519
Phone: (304) 535-6343
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20457 | West Virginia |
Profile Details
| NPI number | 1932169935 |
|---|---|
| LBN Legal business name | Baltierra, David A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Dec 31st, 2020 - about 5 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 | 1932169935 | NPPES |
| West Virginia | MEDICAID | 1807351000 |
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