Ballard, Brooke Nicole

Ballard, Brooke Nicole is an individual health care provider with primary practice located at 320 E Central Ave , Decatur IL 62521-4665. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ballard, Brooke Nicole can be contacted via phone (217) 877-9117.

Contact Information

Primary practice address
320 E Central Ave Decatur IL 62521-4665
Phone: (217) 877-9117
Fax: (217) 864-2449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036113224 Illinois

Profile Details

NPI number 1053310557
LBN Legal business name Ballard, Brooke Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Jan 25th, 2022 - about 2 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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