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Contact Information

NICHOLAS M BALOGA, PA-C
1932 ALCOA HWY
STE 360
KNOXVILLE, TN37920-1509
 Phone: 865-524-1869
 Fax: 865-544-6533
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical

363AS0400X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NICHOLAS M BALOGA · (Male)

NPI # 1366764276
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/18/2010
Last updated 11/20/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • TN License # 1801
  • TN Medicaid 1518131
Hospital affiliation(s)
  • PARKWEST MEDICAL CENTER - (Acute Care)
    9352 PARK WEST BLVD
    KNOXVILLE, TN 37923
  • TENNOVA HEALTHCARE - (Acute Care)
    900 EAST OAK HILL AVENUE
    KNOXVILLE, TN 37917
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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