Ball, Edwin Grantham

Ball, Edwin Grantham is an individual health care provider with primary practice located at 2444 Commerce Rd , Jacksonville NC 28546-7560. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ball, Edwin Grantham can be contacted via phone (910) 989-2800.

Contact Information

Primary practice address
2444 Commerce Rd Jacksonville NC 28546-7560
Fax: (910) 346-2393
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C004064 North Carolina

Profile Details

NPI number 1447291679
LBN Legal business name Ball, Edwin Grantham
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447291679 NPPES
North Carolina Other 130P7 BC/BS
North Carolina MEDICAID 6002715 BC/BS

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