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:
Health care specialties
| Specialty | Code | License # | 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 17 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 | 1679526461 | NPPES |
| North Carolina | Other | 12821 | BCBS |
| North Carolina | MEDICAID | 6003498 | BCBS |
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