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Contact Information

JACQUELINE BALON, NP
30055 NORTHWESTERN HWY
STE L50
FARMINGTON HILLS, MI48334-3230
 Phone: 248-626-8200
 Fax: 248-737-9287
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for JACQUELINE BALON · (Female)

NPI Number 1306800933
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/12/2006
Last updated 09/12/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • MI License # 4704100757
  • MI Medicaid 4362714
  • MI Medicaid 4790050
  • Other 0866685 BCBSM
  • Other P30273 HEALTH ALLIANCE PLAN
  • MI Other 13834 MCARE
Hospital affiliation(s) Not Available
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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