Susan Wanda Balke in Marianna - Family Medicine
Susan Wanda Balke - NPI 1124013925
Susan Wanda Balke is a Family Medicine in Marianna, Arkansas. Susan Wanda Balke practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Susan Wanda Balke is 1124013925. The last update date is 2007-09-07.
Susan Wanda Balke's current location address is 171 Cherry St, Marianna, Arkansas. You can contact this provider via phone number 8702956205. The mailing address for Susan Wanda Balke is 171 Cherry St, Marianna, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Wanda Balke |
|---|---|
| Address | 171 Cherry St, Marianna, Arkansas |
| Phone Number | 8702956205 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1124013925 |
|---|---|
| Provider Enumeration Date | 2005-09-18 |
| Last Updated Date | 2007-09-07 |
Provider Mailing Address Detail
| Address | 171 Cherry St |
|---|---|
| City | Marianna |
| State | Arkansas (AR) |
| Post Code | 723601938 |
| Phone Number | 8702956205 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | N6963 |
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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 i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 111863003 | AR | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Wanda Balke by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Wanda Balke has been assigned the NPI (National Provider Identifier) 1124013925. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Susan Wanda Balke?
The Susan Wanda Balke is physically situated at 171 Cherry St, in the city of Marianna, state of AR, with the postal code 723601938.
What is Susan Wanda Balke's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Susan Wanda Balke is Family Medicine, and the taxonomy code that classifies this field of practice is 207Q00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124013925 to Susan Wanda Balke?
The Centers for Medicare & Medicaid Services originally issued the 1124013925 to Susan Wanda Balke on 2005-09-18.
As of what date was the information regarding Susan Wanda Balke, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Susan Wanda Balke, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-07.
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