Ballan, David A

Ballan, David A is an individual health care provider with primary practice located at 98 Shaker Rd , East Longmeadow MA 01028-2731. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ballan, David A can be contacted via phone (413) 525-1554.

Contact Information

Primary practice address
98 Shaker Rd East Longmeadow MA 01028-2731
Phone: (413) 525-1554
Fax: (413) 525-7764
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 36805 Massachusetts

Profile Details

NPI number 1174698542
LBN Legal business name Ballan, David A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2006
Last updated Oct 18th, 2018 - about 7 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 1174698542 NPPES
Other 702509 TUFTS
Other N51639 TUFTS

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