| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | John Balko · John Balko & Associates | [sources] | |||
| Birth date | [sources] | ||||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| Description | Provider ID: 2068337 | [sources] | |||
| First name | John | [sources] | |||
| Last name | Balko · Balko & Associates | [sources] | |||
| NPI | 1932105996 | [sources] | |||
| Sector | 21 - Professional Medical Group | [sources] | |||
| Address | 102 North Keel Ridge Road, Hermitage, PA 16148-3440 | [sources] | |||
| Last change | Last processed | First seen | |||
Medicaid providers sanctioned in West Virginia's Medicaid program.
United States · MMIS
Medical providers excluded or suspended from Ohio's Medicaid program.
United States · ODM
us-medwv-44a51d50e7b5b42a0753afbf15cafd59ff23ad77 · us-medoh-970a4f8e826562b4531bcffa5afcaee5d24bb284For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| 102 North Keel Ridge Road, Hermitage, PA 16148-3440 | United States | |
| United States | Medicaid Management Information System | - | - |