Ballard, Percy Ray

Ballard, Percy Ray is an individual health care provider with primary practice located at 1340 Boylston St , Boston MA 02215-4302. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ballard, Percy Ray can be contacted via phone (617) 267-0900.

Contact Information

Primary practice address
1340 Boylston St Boston MA 02215-4302
Phone: (617) 267-0900
Fax: (617) 267-3667
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 236476 Massachusetts

Profile Details

NPI number 1902067424
LBN Legal business name Ballard, Percy Ray
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2008
Last updated Sep 5th, 2013 - about 11 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 1902067424 NPPES
Massachusetts Other 236476 MASSACHUSETTS BOARD OF REGISTRATION IN MEDICINE LIMITED LICENSE

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