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
Fax: (530) 528-7655
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922069335 NPPES
Washington MEDICAID 8275588

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