Ball, Derek A

Ball, Derek A is an individual health care provider with primary practice located at 1800 3Rd Ave Suite 512, Rock Island IL 61201-8000. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Ball, Derek A can be contacted via phone (309) 786-4491.

Contact Information

Primary practice address
1800 3Rd Ave Suite 512 Rock Island IL 61201-8000
Phone: (309) 786-4491
Fax: (309) 786-0205
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X Illinois

Profile Details

NPI number 1770661795
LBN Legal business name Ball, Derek A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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.

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