Ballard, Robert J.

Ballard, Robert J. is an individual health care provider with primary practice located at 2020 1St Ave S , Denison IA 51442-2210. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ballard, Robert J. can be contacted via phone (712) 263-5021.

Contact Information

Primary practice address
2020 1St Ave S Denison IA 51442-2210
Phone: (712) 263-5021
Fax: (712) 263-1600
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 037229 Iowa

Profile Details

NPI number 1891785432
LBN Legal business name Ballard, Robert J.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2005
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891785432 NPPES
Iowa MEDICAID 0076869

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