Ballanger, Drew

Ballanger, Drew is an individual health care provider with primary practice located at 3222 Birch Pl , Minnetonka MN 55305-4511. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Ballanger, Drew can be contacted via phone (612) 207-1497.

Contact Information

Primary practice address
3222 Birch Pl Minnetonka MN 55305-4511
Phone: (612) 207-1497
Fax: (612) 568-9514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1235756909
LBN Legal business name Ballanger, Drew
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2020
Last updated Jun 29th, 2020 - about 5 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 1235756909 NPPES
Minnesota Other 0001058197 SUPPLIER NUMBER

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