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NPI Code Detail

MEDICARE: JANE THERESE BALBO DO

MEDICARE: JANE THERESE BALBO DO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician34010240OH
2204D00000XNeuromusculoskeletal Medicine & OMM Physician34.010240OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396941043
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE THERESE BALBO DO
Provider Business Mailing Address
First Line : PO BOX 7527
Second Line :
City : DUBLIN
State : OH
Zip : 43017-0727
Country : US
Telephone Number : 740-592-7100
Fax Number : 740-592-7112
Provider Business Practice Location Address
First Line : 2 HEALTH CENTER DR
Second Line :
City : ATHENS
State : OH
Zip : 45701-2907
Country : US
Telephone Number : 740-593-1660
Fax Number : 740-593-0179
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2007
Last Update Date : 06/08/2026

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