Baluyut, Irene Dalusung

Baluyut, Irene Dalusung is an individual health care provider with primary practice located at 3569 Round Barn Cir , Santa Rosa CA 95403-5781. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Baluyut, Irene Dalusung can be contacted via phone (707) 303-3600.

Contact Information

Primary practice address
3569 Round Barn Cir Santa Rosa CA 95403-5781
Phone: (707) 303-3600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A87105 California

Profile Details

NPI number 1629281662
LBN Legal business name Baluyut, Irene Dalusung
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Oct 4th, 2016 - about 8 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 1629281662 NPPES
California Other 0-489-641-1 ECFMG#
California Other A87105 ECFMG#

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