Baltrusaitis, Al

Baltrusaitis, Al is an individual health care provider with primary practice located at 3021 Voyager Dr , Green Bay WI 54311-8303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine, which is considered as his primary health care specialty. Baltrusaitis, Al can be contacted via phone (920) 496-4700.

Contact Information

Primary practice address
3021 Voyager Dr Green Bay WI 54311-8303
Phone: (920) 496-4700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Preventive Medicine/Occupational Environmental Medicine 2083P0500X 24456 Wisconsin

Profile Details

NPI number 1699747105
LBN Legal business name Baltrusaitis, Al
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Apr 5th, 2010 - about 14 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 1699747105 NPPES
Wisconsin MEDICAID 30018600

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