Ball, Martin D
Ball, Martin D is an individual health care provider with primary practice located at 8091 Rivers Ave , N Charleston SC 29406-9281. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ball, Martin D can be contacted via phone (843) 572-7000.Contact Information
Primary practice address
8091 Rivers Ave
N Charleston SC 29406-9281
Phone: (843) 572-7000
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2807 | South Carolina |
Profile Details
NPI number | 1912434606 |
---|---|
LBN Legal business name | Ball, Martin D |
Credentials | Physician Assistant (PA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 12th, 2017 |
Last updated | Nov 1st, 2021 - about 4 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 | 1912434606 | NPPES |
South Carolina | MEDICAID | 3579PA |
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