Ball, John Andrew

Ball, John Andrew is an individual health care provider with primary practice located at 2231 Catlin Ave , Superior WI 54880-5137. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Ball, John Andrew can be contacted via phone (715) 394-4173.

Contact Information

Primary practice address
2231 Catlin Ave Superior WI 54880-5137
Fax: (715) 394-9182
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1595-123 Wisconsin
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 151-124 Wisconsin

Profile Details

NPI number 1134299886
LBN Legal business name Ball, John Andrew
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1134299886 NPPES
Wisconsin MEDICAID 39198900

Popular Providers