Ballard, Leslie Jeanne
Ballard, Leslie Jeanne is an individual health care provider with primary practice located at 645 Antelope Blvd Suite 24, Red Bluff CA 96080-2465. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ballard, Leslie Jeanne can be contacted via phone (530) 528-7650.Contact Information
Primary practice address
645 Antelope Blvd Suite 24
Red Bluff CA 96080-2465
Phone: (530) 528-7650
Fax: (530) 528-7655
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | C52573 | California |
Profile Details
NPI number | 1922069335 |
---|---|
LBN Legal business name | Ballard, Leslie Jeanne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 28th, 2006 |
Last updated | Mar 28th, 2013 - about 12 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922069335 | NPPES |
Washington | MEDICAID | 8275588 |
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