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Contact Information

JILLANN M BALKO, CRNA
1200 J D ANDERSON DR
MORGANTOWN, WV26505-3494
 Phone: 304-598-4000
 Fax: 304-293-6963
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for JILLANN M BALKO · (Female)

NPI # 1013090216
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 10/23/2006
Last updated 05/08/2008 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • WV License # 50514
  • WV Medicaid 0207026000
  • WV Medicaid 2601027000
  • WV Other 27005299701 BRICKSTREET
  • WV Other 001706470 MSBSBS
  • WV Other 001720735 MT STATE BCBS
  • WV Other DA0096 RR MEDICARE
  • WV Other P00207323 RR MEDICARE
  • WV Other 270052997004 TRICARE
  • WV Other 27005299701 WORKERS COMP
Hospital affiliation(s)
  • WEST VIRGINIA UNIVERSITY HOSPITALS - (Acute Care)
    MEDICAL CENTER DRIVE
    MORGANTOWN, WV 26506
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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