Ballard, Reatha W.

Ballard, Reatha W. is an sole proprietor health care provider with primary practice located at 35 Miles St , Damariscotta ME 04543-4047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Ballard, Reatha W. can be contacted via phone (207) 563-4904.

Contact Information

Primary practice address
35 Miles St Damariscotta ME 04543-4047
Phone: (207) 563-4904
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 1-025847 Alabama

Profile Details

NPI number 1336106616
LBN Legal business name Ballard, Reatha W.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 28th, 2006
Last updated Aug 26th, 2020 - about 4 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 1336106616 NPPES
Alabama MEDICAID 009933232

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