Ballard, Shannon

Ballard, Shannon is an individual health care provider with primary practice located at 2801 Purcell St , Brighton CO 80601-3551. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ballard, Shannon can be contacted via phone (303) 659-9700.

Contact Information

Primary practice address
2801 Purcell St Brighton CO 80601-3551
Phone: (303) 659-9700
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1962723130
LBN Legal business name Ballard, Shannon
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 22nd, 2010
Last updated Sep 9th, 2013 - about 12 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 1962723130 NPPES
Colorado Other 294465YN7Q MEDICARE PTAN

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