Individual
NIKOLAY F BALBYSHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
217 RIVER VALLEY BLVD, NEW RICHMOND, OH 45157-8531
(513) 843-5494
Mailing address
217 RIVER VALLEY BLVD, NEW RICHMOND, OH 45157-8531
(513) 843-5494
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
1305193
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1305193
EMPLOYEE/PROVIDER CONTRACT #
OH
Enumeration date
12/03/2020
Last updated
12/03/2020
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