Baltz, Brian Anthony

Baltz, Brian Anthony is an individual health care provider with primary practice located at 210 W Drew Ave , Monette AR 72447-9010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Baltz, Brian Anthony can be contacted via phone (870) 486-5464.

Contact Information

Primary practice address
210 W Drew Ave Monette AR 72447-9010
Phone: (870) 486-5464
Fax: (870) 486-1211
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E7150 Arkansas

Profile Details

NPI number 1205064581
LBN Legal business name Baltz, Brian Anthony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2009
Last updated Jan 9th, 2015 - about 11 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 1205064581 NPPES
Arkansas MEDICAID 194152001
Arkansas Other 5AP26

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