Ballan, Kenneth
Ballan, Kenneth is an individual health care provider with primary practice located at 191 S Buena Vista St Ste. 215, Burbank CA 91505-4554. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ballan, Kenneth can be contacted via phone (818) 295-6944.Contact Information
Primary practice address
191 S Buena Vista St Ste. 215
Burbank CA 91505-4554
Phone: (818) 295-6944
Fax: (818) 295-6948
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | G29221 | California |
Profile Details
| NPI number | 1134123474 |
|---|---|
| LBN Legal business name | Ballan, Kenneth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Apr 14th, 2011 - about 13 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 | 1134123474 | NPPES |
| California | MEDICAID | 00G409450 |
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