Ball, Russell A.

Ball, Russell A. is an individual health care provider with primary practice located at 2006 New Garden Rd Suite 106, Greensboro NC 27410-2566. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ball, Russell A. can be contacted via phone (336) 609-6240.

Contact Information

Primary practice address
2006 New Garden Rd Suite 106 Greensboro NC 27410-2566
Phone: (336) 609-6240
Fax: (336) 609-6238
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9901503 North Carolina

Profile Details

NPI number 1336134782
LBN Legal business name Ball, Russell A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2005
Last updated Apr 23rd, 2014 - about 12 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 1336134782 NPPES
North Carolina Other 220029646 RAILROAD MEDICARE

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