Ballard, Samuel Quinn
Ballard, Samuel Quinn is an individual health care provider with primary practice located at 800 Lakefront Way , Two Rivers WI 54241-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ballard, Samuel Quinn can be contacted via phone (920) 320-2436.Contact Information
Primary practice address
800 Lakefront Way
Two Rivers WI 54241-3301
Phone: (920) 320-2436
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 81102-21 | Wisconsin |
Profile Details
| NPI number | 1578191763 |
|---|---|
| LBN Legal business name | Ballard, Samuel Quinn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 1st, 2020 |
| Last updated | Sep 13th, 2023 - about 2 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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