Individual
JACQUELINE BALON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
30055 NORTHWESTERN HWY, STE L50, FARMINGTON HILLS, MI 48334-3230
(248) 626-8200
(248) 737-9287
Mailing address
PO BOX 120070, GRAND RAPIDS, MI 49528-0102
(616) 940-0660
(616) 940-1965
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704100757
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0866685
BCBSM
—
01
—
13834
MCARE
MI
05
—
4362714
—
MI
05
—
4790050
—
MI
01
—
P30273
HEALTH ALLIANCE PLAN
—
Enumeration date
04/12/2006
Last updated
09/12/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us