Michael C Baloga Dpm, Pc

LBN: Michael C Baloga Dpm, Pc
Michael C Baloga Dpm, Pc is an health care organization with primary practice located at 810 Wyoming Ave , West Pittston PA 18643-2768. The organization recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is the primary health care specialty. Michael C Baloga Dpm, Pc can be contacted via phone (570) 654-4371, or through Baloga, Dpm,Pc, Michael C via phone (570) 654-4371.

Contact Information

Primary practice address
810 Wyoming Ave West Pittston PA 18643-2768
Fax: (570) 654-0455
Website:
Authorized official contact:
Name: Baloga, Dpm,Pc, Michael C DPM, PC

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC003071L Pennsylvania
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X SC003071L Pennsylvania

Profile Details

NPI number 1972781250
LBN Legal business name Michael C Baloga Dpm, Pc
DBA Doing business as
Authorized official Baloga, Dpm,Pc, Michael C DPM, PC
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2008
Last updated Jan 13th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972781250 NPPES
Pennsylvania MEDICAID 1028012370001

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