Ballard, Rosa

Ballard, Rosa is an individual health care provider with primary practice located at 3830 S Cushman St , Fairbanks AK 99701-7530. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Ballard, Rosa can be contacted via phone (907) 452-1575.

Contact Information

Primary practice address
3830 S Cushman St Fairbanks AK 99701-7530
Phone: (907) 452-1575
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 6342 Alaska

Profile Details

NPI number 1174845671
LBN Legal business name Ballard, Rosa
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2010
Last updated Feb 24th, 2010 - about 15 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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