Ball, Bruce Devon

Ball, Bruce Devon is an individual health care provider with primary practice located at 180 Wingo Way Suite 102, Mt Pleasant SC 29464-3235. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Ball, Bruce Devon can be contacted via phone (843) 881-2030.

Contact Information

Primary practice address
180 Wingo Way Suite 102 Mt Pleasant SC 29464-3235
Phone: (843) 881-2030
Fax: (843) 881-6249
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 11111 South Carolina

Profile Details

NPI number 1912909599
LBN Legal business name Ball, Bruce Devon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Oct 19th, 2023 - about last year

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912909599 NPPES
South Carolina MEDICAID 111113

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