Ball, Douglas Wayne

Ball, Douglas Wayne is an sole proprietor health care provider with primary practice located at 316 W 2Nd S , Soda Springs ID 83276-1515. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Ball, Douglas Wayne can be contacted via phone (208) 547-3125.

Contact Information

Primary practice address
316 W 2Nd S Soda Springs ID 83276-1515
Phone: (208) 547-3125
Fax: (208) 547-0715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT-1662 Idaho

Profile Details

NPI number 1891916359
LBN Legal business name Ball, Douglas Wayne
Credentials M.P.T. A.T.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 1st, 2007
Last updated Sep 30th, 2019 - about 6 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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