Ballard, Evan A

Ballard, Evan A is an individual health care provider with primary practice located at 2950 Curve Crest Blvd W , Stillwater MN 55082-5085. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Ballard, Evan A can be contacted via phone (651) 275-3000.

Contact Information

Primary practice address
2950 Curve Crest Blvd W Stillwater MN 55082-5085
Phone: (651) 275-3000
Fax: (651) 275-3027
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 26825 Minnesota

Profile Details

NPI number 1598760886
LBN Legal business name Ballard, Evan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Mar 6th, 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 1598760886 NPPES
Minnesota Other 180014296 RAILROAD MEDICARE
Minnesota MEDICAID 001022700 RAILROAD MEDICARE

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