Ballard, Phillip W
Ballard, Phillip W is an individual health care provider with primary practice located at 2610 Tenderfoot Hill St , Colorado Springs CO 80906. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ballard, Phillip W can be contacted via phone (719) 576-3901.Contact Information
Primary practice address
2610 Tenderfoot Hill St
Colorado Springs CO 80906
Phone: (719) 576-3901
Fax: (719) 576-2025
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | DR.0023871 | Colorado |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | DR.0023871 | Colorado |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | DR.0023871 | Colorado |
Profile Details
| NPI number | 1912996505 |
|---|---|
| LBN Legal business name | Ballard, Phillip W |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2005 |
| Last updated | Jun 15th, 2018 - about 7 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 | 1912996505 | NPPES |
| Colorado | MEDICAID | 01238716 |
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