Ball, Shane

Ball, Shane is an individual health care provider with primary practice located at 3760 Piper Street Suite Ll139, Anchorage AK 99508. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ball, Shane can be contacted via phone (907) 212-6233.

Contact Information

Primary practice address
3760 Piper Street Suite Ll139 Anchorage AK 99508
Fax: (907) 563-3217
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1922146307
LBN Legal business name Ball, Shane
Credentials Master of Health Science (MHS)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 1st, 2007
Last updated Jul 9th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922146307 NPPES
Alaska MEDICAID PENDING

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