Provider Demographics
NPI:1447831516
Name:BALSIGER, WHITNEY (PHARMD)
Entity type:Individual
Prefix:
First Name:WHITNEY
Middle Name:
Last Name:BALSIGER
Suffix:
Gender:F
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:928 US HIGHWAY 27 N
Mailing Address - Street 2:
Mailing Address - City:BERNE
Mailing Address - State:IN
Mailing Address - Zip Code:46711-1022
Mailing Address - Country:US
Mailing Address - Phone:260-589-2701
Mailing Address - Fax:
Practice Address - Street 1:928 US HIGHWAY 27 N
Practice Address - Street 2:
Practice Address - City:BERNE
Practice Address - State:IN
Practice Address - Zip Code:46711-1022
Practice Address - Country:US
Practice Address - Phone:260-589-2701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-04-19
Last Update Date:2021-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN26024674A183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist