Ballard, John M

Ballard, John M is an individual health care provider with primary practice located at 1600 State Street , Salem OR 97301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Ballard, John M can be contacted via phone (503) 540-6300.

Contact Information

Primary practice address
1600 State Street Salem OR 97301
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD18687 Oregon

Profile Details

NPI number 1376560847
LBN Legal business name Ballard, John M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2006
Last updated Feb 13th, 2014 - about 10 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 1376560847 NPPES
Oregon MEDICAID 062018

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