Balzer-Costin, Amanda
Balzer-Costin, Amanda is an individual health care provider with primary practice located at 500 Upper Chesapeake Dr Adult Hospitalist Dept, Bel Air MD 21014-4324. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Balzer-Costin, Amanda can be contacted via phone (443) 643-1500.Contact Information
Primary practice address
500 Upper Chesapeake Dr Adult Hospitalist Dept
Bel Air MD 21014-4324
Phone: (443) 643-1500
Fax: (443) 643-1505
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | R180660 | Maryland |
Profile Details
| NPI number | 1740619469 |
|---|---|
| LBN Legal business name | Balzer-Costin, Amanda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 4th, 2013 |
| Last updated | Aug 29th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740619469 | NPPES |
| Maryland | MEDICAID | 453505700 |
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