Balzer, Phillip William

Balzer, Phillip William is an individual health care provider with primary practice located at 1200 E Broad St , Richmond VA 23298-5058. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Balzer, Phillip William can be contacted via phone (804) 828-9000.

Contact Information

Primary practice address
1200 E Broad St Richmond VA 23298-5058
Phone: (804) 828-9000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001250924 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 0024178743 Virginia

Profile Details

NPI number 1134750334
LBN Legal business name Balzer, Phillip William
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2020
Last updated Jan 28th, 2020 - about 4 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 1134750334 NPPES
Virginia Other 0024178743 NURSE PRACTITIONER LICENSE
Virginia Other 0001250924 NURSE PRACTITIONER LICENSE

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