Dr. Ethan Balk, PHD, RD
Dietitian, Registered, Nutrition, Metabolic in New Haven, Connecticut
1124535372- Practice location
- 40 Temple St Ste 7B, New Haven, CT 06510-2715
- Phone
- 203-785-6060
- Fax
- —
- Last updated
- January 9, 2018
Ethan Balk is a Dietitian, Registered, Nutrition, Metabolic based in New Haven, CT. Ethan Balk practices in New Haven, CT and has the professional credentials of PHD, RD. The NPI Number for Ethan Balk is 1124535372 and holds a License No. 1448 (CT). The current practice location address for Ethan Balk is 40 Temple St Ste 7B, New Haven, CT 06510-2715 and can be reached out via phone at 203-785-6060.
Provider Profile Details
- NPI Number
- 1124535372
- Provider Name
- Ethan Balk
- Credential
- PHD, RD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 40 Temple St Ste 7B, New Haven, CT 06510-2715
- Phone Number
- 203-785-6060
- Primary Taxonomy
- Dietitian, Registered, Nutrition, Metabolic · 133VN1006X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 9, 2018
- Last Update Date
- January 9, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Temple St Ste 7B
New Haven, CT 06510-2715 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-2715
- Phone Number
- 203-785-6060
Provider Business Mailing Address Details
- Address
- 40 Temple St Ste 7B
New Haven, CT 06510-2715 - City
- New Haven
- State
- CT
- Zip
- 06510-2715
License Information
- License Number
- 1448
- License State
- CT
- Taxonomy
- Dietitian, Registered, Nutrition, Metabolic · 133VN1006X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Ethan Balk, PHD, RD?
The NPI number of Dr. Ethan Balk, PHD, RD is 1124535372. It was assigned on January 9, 2018 and is currently active in the NPPES registry.
What is the specialty of Dr. Ethan Balk, PHD, RD?
Dr. Ethan Balk, PHD, RD is registered under the primary taxonomy Dietitian, Registered, Nutrition, Metabolic (code 133VN1006X), licensed in CT under license number 1448.
Where does Dr. Ethan Balk, PHD, RD practice?
The practice location is 40 Temple St Ste 7B, New Haven, CT 06510-2715. The office can be reached at 203-785-6060 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1124535372 directly on the NPPES registry website.