Ballard, Darrell
Ballard, Darrell is an sole proprietor health care provider with primary practice located at 4104 Herblinda Ln , North Las Vegas NV 89032-2707. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Ballard, Darrell can be contacted via phone (702) 351-1416.Contact Information
Primary practice address
4104 Herblinda Ln
North Las Vegas NV 89032-2707
Phone: (702) 351-1416
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Community Health Worker | 172V00000X |
Profile Details
| NPI number | 1194118455 |
|---|---|
| LBN Legal business name | Ballard, Darrell |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 11th, 2015 |
| Last updated | Mar 11th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194118455 | NPPES |
| Nevada | MEDICAID | 172V00000X |
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