Ballard, Phillip Ault
Ballard, Phillip Ault is an sole proprietor health care provider with primary practice located at 1229 Madison Suite #820, Seattle WA 98104-3539. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Ballard, Phillip Ault can be contacted via phone (206) 498-8766.Contact Information
Primary practice address
1229 Madison Suite #820
Seattle WA 98104-3539
Phone: (206) 498-8766
Fax: (206) 720-1595
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | MD00011684 | Washington |
Profile Details
| NPI number | 1508050071 |
|---|---|
| LBN Legal business name | Ballard, Phillip Ault |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 28th, 2007 |
| Last updated | Aug 28th, 2007 - 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 | 1508050071 | NPPES |
| Washington | MEDICAID | 1045202 |
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