Ball, Audra Suzanne
Ball, Audra Suzanne is an individual health care provider with primary practice located at 4805 E Highway 37 , Tuttle OK 73089-8791. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ball, Audra Suzanne can be contacted via phone (405) 381-9979.Contact Information
Primary practice address
4805 E Highway 37
Tuttle OK 73089-8791
Phone: (405) 381-9979
Fax: (405) 381-9130
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | Oklahoma |
Profile Details
| NPI number | 1841337631 |
|---|---|
| LBN Legal business name | Ball, Audra Suzanne |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Feb 12th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841337631 | NPPES |
| Oklahoma | MEDICAID | 200110730A |
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