Ballard, Jacob Wayne

Ballard, Jacob Wayne is an individual health care provider with primary practice located at 5455 Almira Dr Ne , Bremerton WA 98311-8330. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Ballard, Jacob Wayne can be contacted via phone (360) 373-5031.

Contact Information

Primary practice address
5455 Almira Dr Ne Bremerton WA 98311-8330
Fax: (360) 415-6680
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1285372029
LBN Legal business name Ballard, Jacob Wayne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2022
Last updated May 23rd, 2022 - about 3 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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