Individual
MR. THOMAS JOHN BALUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
112 N. SEVENTH STREET, CHAMBERSBURG, PA 17201
(717) 267-3000
(717) 267-7414
Mailing address
785 5TH AVENUE, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 217-4217
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN221538L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007390383
—
PA
01
—
050514
MEDICARE GROUP #
PA
01
—
120420418
DEPT OF LABOR
PA
01
—
25-1716306
MULTIPLAN/PHCS
PA
01
—
258232
UNISON
PA
01
—
50075721
CAPITAL BLUECROSS
PA
01
—
G920-0085/85XWCU
CAREFIRST
PA
01
—
P00602488
RAILROAD MEDICARE
PA
01
—
RN221538L
RN LICENSE #
PA
Enumeration date
04/21/2006
Last updated
12/18/2009
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