Ballanco, Gerard A.

Ballanco, Gerard A. is an individual health care provider with primary practice located at 539 E Prudhomme St , Opelousas LA 70570-6499. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ballanco, Gerard A. can be contacted via phone (337) 942-6883.

Contact Information

Primary practice address
539 E Prudhomme St Opelousas LA 70570-6499
Phone: (337) 942-6883
Fax: (337) 942-6830
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 025645 Louisiana

Profile Details

NPI number 1053330779
LBN Legal business name Ballanco, Gerard A.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Nov 14th, 2007 - about 17 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 1053330779 NPPES
Louisiana MEDICAID 1043184
Louisiana Other P00390429

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