Ballard, Elise D
Ballard, Elise D is an individual health care provider with primary practice located at 10120 Calumet Ave Ste 103 , Munster IN 46321-4076. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ballard, Elise D can be contacted via phone (219) 836-2936.Contact Information
Primary practice address
10120 Calumet Ave Ste 103
Munster IN 46321-4076
Phone: (219) 836-2936
Fax: (219) 836-2949
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 71015171A | Indiana |
Profile Details
| NPI number | 1275385361 |
|---|---|
| LBN Legal business name | Ballard, Elise D |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2024 |
| Last updated | Jun 10th, 2024 - about last year |
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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