Ballard, Mary Upchurch

Ballard, Mary Upchurch is an individual health care provider with primary practice located at 1401 Park Avenue Promise Place, New Bern NC 28560. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ballard, Mary Upchurch can be contacted via phone (252) 636-3381.

Contact Information

Primary practice address
1401 Park Avenue Promise Place New Bern NC 28560
Phone: (252) 636-3381
Fax: (252) 636-2278
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X C001352 North Carolina

Profile Details

NPI number 1679526461
LBN Legal business name Ballard, Mary Upchurch
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated May 22nd, 2008 - about 16 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 1679526461 NPPES
North Carolina Other 12821 BCBS
North Carolina MEDICAID 6003498 BCBS

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