Ballard, Jessica

Ballard, Jessica is an individual health care provider with primary practice located at 17823 Poplar Grove Rd , Poplar Grove IL 61065-9014. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Ballard, Jessica can be contacted via phone (815) 765-3311.

Contact Information

Primary practice address
17823 Poplar Grove Rd Poplar Grove IL 61065-9014
Phone: (815) 765-3311
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096004283 Illinois

Profile Details

NPI number 1568000768
LBN Legal business name Ballard, Jessica
Credentials MS, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 18th, 2019
Last updated Dec 18th, 2019 - about 5 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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