Ballard, Cara Beth

Ballard, Cara Beth is an individual health care provider with primary practice located at 819 W Carpenter St , Benton AR 72015-3349. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ballard, Cara Beth can be contacted via phone (501) 778-8264.

Contact Information

Primary practice address
819 W Carpenter St Benton AR 72015-3349
Fax: (501) 778-7360
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-4067 Arkansas

Profile Details

NPI number 1457310476
LBN Legal business name Ballard, Cara Beth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Sep 30th, 2014 - 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 1457310476 NPPES
Arkansas MEDICAID 154891001

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