Ball, Michael
Ball, Michael is an sole proprietor health care provider with primary practice located at 134 El Chico Trl Ste 101 , Willow Park TX 76087-8862. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Ball, Michael can be contacted via phone (817) 995-3195.Contact Information
Primary practice address
134 El Chico Trl Ste 101
Willow Park TX 76087-8862
Phone: (817) 995-3195
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Pediatric Dentistry | 1223P0221X | 34548 | Texas |
Profile Details
NPI number | 1699209742 |
---|---|
LBN Legal business name | Ball, Michael |
Credentials | Doctor of Dental Surgery (DDS) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 15th, 2017 |
Last updated | Sep 5th, 2019 - about 5 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 | 1699209742 | NPPES |
Texas | MEDICAID | 399388301 |
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