Individual
DR. TEODORA BALQUIEDRA ELIZAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1524 SUNSET BLVD, SUITE C, STEUBENVILLE, OH 43952-1380
(740) 282-5349
(740) 282-5340
Mailing address
1524 SUNSET BLVD, SUITE C, STEUBENVILLE, OH 43952-1380
(740) 282-5349
(740) 282-5340
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
35.037113
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000128366
BCBS PROVIDER NUMBER
OH
01
—
0022513
BOX 24K MT STATE BCBS
OH
05
—
0432213
—
OH
01
—
1346324514
TYPE II NPI #
OH
01
—
1508919341
TYPE I INDIVIDUAL NPI #
OH
01
—
1807015000
WV WELFARE PROVIDER #
OH
01
—
341191014002
MED MUT GROUP NUMBER
OH
01
—
341191014026
CARESOURCE PROVIDER #
OH
01
—
A37113
HEALTH PLAN PROVIDER #
OH
Enumeration date
01/18/2007
Last updated
07/09/2007
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