Ball, Burley Walter
Ball, Burley Walter is an sole proprietor health care provider with primary practice located at 4313 Buckingham Rd , Coeburn VA 24230. He recently has only one registered license in Other Service Providers / Driver, which is considered as his primary health care specialty. Ball, Burley Walter can be contacted via phone (276) 395-1323.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Driver | 172A00000X | T64011149 | Virginia |
Profile Details
NPI number | 1285240523 |
---|---|
LBN Legal business name | Ball, Burley Walter |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Sep 22nd, 2020 |
Last updated | Sep 22nd, 2020 - about 4 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 | 1285240523 | NPPES |
Virginia | MEDICAID | T64011149 |
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