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
Phone: (715) 394-4173
Fax: (715) 394-9182
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1134299886 | NPPES |
Wisconsin | MEDICAID | 39198900 |
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