Ballard, Jim G

Ballard, Jim G is an individual health care provider with primary practice located at 3995 Marcola Rd , Springfield OR 97477-7948. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Ballard, Jim G can be contacted via phone (541) 726-1465.

Contact Information

Primary practice address
3995 Marcola Rd Springfield OR 97477-7948
Phone: (541) 726-1465
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X

Profile Details

NPI number 1962067512
LBN Legal business name Ballard, Jim G
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2019
Last updated May 8th, 2019 - about 6 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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