Doctor Name: | HELEN JEANETTE BALTEZEGAR |
NPI Number: | 1568496859 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CFM |
License Number: | |
Business Practice Address: | 1616 Shipyard Blvd Suite 5 Wilmington, NC - 284126561 |
Business Phone Number: | 9107983834 |
Business Fax Number: | 9107983834 |
Mailing Address: | 1616 Shipyard Blvd, Suite 5 WILMINGTON |
State: | NC |
Postal Code: | 284126561 |
Phone Number: | 9107983834 |
Fax Number: | 9107983834 |
NPI Enumeration Date: | 07/10/2006 |
NPI Last Update Date: | 12/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332B00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | |
Taxonomy Definition: | A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient |