Provider Demographics
NPI:1639284243
Name:BALESTRINO, SHEILA (DO)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:
Last Name:BALESTRINO
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MISS
Other - First Name:SHEILA
Other - Middle Name:
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:342 NORTH MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001
Mailing Address - Country:US
Mailing Address - Phone:724-282-8011
Mailing Address - Fax:724-282-3165
Practice Address - Street 1:342 NORTH MAIN ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001
Practice Address - Country:US
Practice Address - Phone:724-282-8011
Practice Address - Fax:724-282-3165
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2009-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS006724L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA11988390009Medicaid
E52750Medicare UPIN
PA11988390009Medicaid
042105Medicare PIN