Ballantine, Edward James

Ballantine, Edward James is an sole proprietor health care provider with primary practice located at 56 Kingsboro Ave , Gloversville NY 12078-3411. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ballantine, Edward James can be contacted via phone (518) 725-8834.

Contact Information

Primary practice address
56 Kingsboro Ave Gloversville NY 12078-3411
Phone: (518) 725-8834
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 130238-1 New York

Profile Details

NPI number 1851314447
LBN Legal business name Ballantine, Edward James
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2006
Last updated Dec 20th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851314447 NPPES
New York MEDICAID 00553484

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