Provider Demographics
NPI:1851571616
Name:LIFE BALANCE HEALTH CARE, LLC
Entity Type:Organization
Organization Name:LIFE BALANCE HEALTH CARE, LLC
Other - Org Name:DEBORAH D. BAYER, D.O.
Other - Org Type:Other Name
Authorized Official - Title/Position:SOLO PRACTIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAYER
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:609-404-9966
Mailing Address - Street 1:54 W JIMMIE LEEDS RD
Mailing Address - Street 2:SUITES 11 & 12
Mailing Address - City:GALLOWAY
Mailing Address - State:NJ
Mailing Address - Zip Code:08205-9401
Mailing Address - Country:US
Mailing Address - Phone:609-404-9966
Mailing Address - Fax:609-404-9967
Practice Address - Street 1:54 W JIMMIE LEEDS RD
Practice Address - Street 2:SUITES 11 & 12
Practice Address - City:GALLOWAY
Practice Address - State:NJ
Practice Address - Zip Code:08205-9401
Practice Address - Country:US
Practice Address - Phone:609-404-9966
Practice Address - Fax:609-404-9967
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-09
Last Update Date:2007-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB055254207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6194401Medicaid
F81714Medicare UPIN
028032Medicare PIN