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
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912434606 NPPES
South Carolina MEDICAID 3579PA

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