Ball, Jack

Ball, Jack is an sole proprietor health care provider with primary practice located at 7400 33Rd St N Ste 100 , Oakdale MN 55128-3630. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / General Practice, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ball, Jack can be contacted via phone (651) 241-9240.

Contact Information

Primary practice address
7400 33Rd St N Ste 100 Oakdale MN 55128-3630
Phone: (651) 241-9240
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 68496 Minnesota
Allopathic & Osteopathic Physicians / General Practice 208D00000X 2018039614 Missouri
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 68496 Minnesota

Profile Details

NPI number 1811341415
LBN Legal business name Ball, Jack
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 20th, 2016
Last updated Nov 16th, 2022 - about 3 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 1811341415 NPPES
Other 3407536 U OF MN EMPLOYEE

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