Ballantine, Allison

Ballantine, Allison is an individual health care provider with primary practice located at 3401 Civic Center Blvd Children'S Hospital Of Phila - General Pediatrics, Philadelphia PA 19104-4319. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Ballantine, Allison can be contacted via phone (215) 590-2164.

Contact Information

Primary practice address
3401 Civic Center Blvd Children'S Hospital Of Phila - General Pediatrics Philadelphia PA 19104-4319
Fax: (215) 590-2180
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD071541L Pennsylvania
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X MD071541L Pennsylvania

Profile Details

NPI number 1013937606
LBN Legal business name Ballantine, Allison
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Apr 18th, 2013 - about 11 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 1013937606 NPPES
New Jersey MEDICAID 8719900
New Jersey MEDICAID 001876052

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