Provider Demographics
NPI:1134497290
Name:BALLEK, CARRIE REED (HCHI, HCHD)
Entity Type:Individual
Prefix:
First Name:CARRIE
Middle Name:REED
Last Name:BALLEK
Suffix:
Gender:F
Credentials:HCHI, HCHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 CETRONIA ROAD, APT H-1
Mailing Address - Street 2:
Mailing Address - City:BREINIGSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18031
Mailing Address - Country:US
Mailing Address - Phone:610-316-7968
Mailing Address - Fax:
Practice Address - Street 1:1055 CETRONIA ROAD, APT H-1
Practice Address - Street 2:
Practice Address - City:BREINIGSVILLE
Practice Address - State:PA
Practice Address - Zip Code:18031
Practice Address - Country:US
Practice Address - Phone:610-316-7968
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-05
Last Update Date:2011-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula