Ballard, David Wayne

Ballard, David Wayne is an individual health care provider with primary practice located at Naval Undersea Medical Institute Submarine Base, Groton CT 06349-5159. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Ballard, David Wayne can be contacted via phone (860) 694-2876.

Contact Information

Primary practice address
Naval Undersea Medical Institute Submarine Base Groton CT 06349-5159
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1396804621
LBN Legal business name Ballard, David Wayne
Credentials IDC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Dec 29th, 2008 - about 16 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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