Ballard, Paul Allen
Ballard, Paul Allen is an individual health care provider with primary practice located at 1455 E Bert Kouns Industrial Loop Ste 210 , Shreveport LA 71105-6000. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ballard, Paul Allen can be contacted via phone (318) 798-4623.Contact Information
Primary practice address
1455 E Bert Kouns Industrial Loop Ste 210
Shreveport LA 71105-6000
Phone: (318) 798-4623
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | Louisiana | |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 307181 | Louisiana |
Profile Details
NPI number | 1114445798 |
---|---|
LBN Legal business name | Ballard, Paul Allen |
Credentials | PA-C, ATC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 5th, 2017 |
Last updated | May 10th, 2023 - about 2 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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