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Jennifer P Balasko, MD
Student in an Organized Health Care Education/Training Program in Bloomington, Indiana
NPI 1821625070

Jennifer P Balasko is a Student in an Organized Health Care Education/Training Program based in Indianapolis, IN. Jennifer P Balasko practices in Bloomington, IN and has the professional credentials of MD. The NPI Number for Jennifer P Balasko is 1821625070 and holds a License No. 01088877A (Indiana).

The current practice location address for Jennifer P Balasko is 550 S Landmark Ave, Bloomington, IN and can be reached out via phone at 812-330-3689 and via fax at 812-355-3290.

Location: 550 S Landmark Ave, Bloomington, IN, 46219-4959
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821625070
Provider Name
Jennifer P Balasko
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
550 S Landmark Ave, Bloomington, IN, 46219-4959
Phone Number
812-330-3689
Fax Number
812-355-3290
Provider Enumeration Date
03/26/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300039270 05 IN
090540883 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
550 S Landmark Ave
City
Bloomington
State
Indiana
Zip
47403-3239
Phone Number
812-330-3689
Fax Number
812-355-3290
person
Provider Business Mailing Address Details
Address
550 S Landmark Ave
City
Bloomington
State
Indiana
Zip
47403-3239
Phone Number
812-330-3689
Fax Number
812-355-3290
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
11021080A (Indiana)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
01088877A (Indiana)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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