Individual
JOHN BALKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
102 N KEEL RIDGE RD, HERMITAGE, PA 16148-3440
(866) 758-4862
(330) 758-4886
Mailing address
102 N KEEL RIDGE RD, HERMITAGE, PA 16148-3440
(866) 758-4862
(330) 758-4886
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
SL001837L
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018232190001
—
PA
05
—
0746376
—
OH
Enumeration date
06/17/2005
Last updated
01/29/2013
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