Ballard, Teresa Ann

Ballard, Teresa Ann is an individual health care provider with primary practice located at 107 Cranes Roost Ct , Elizabethtown KY 42701-3650. She recently has only one registered license in Nursing Service Related Providers / Technician, which is considered as her primary health care specialty. Ballard, Teresa Ann can be contacted via phone (270) 765-2605.

Contact Information

Primary practice address
107 Cranes Roost Ct Elizabethtown KY 42701-3650
Phone: (270) 765-2605
Fax: (270) 234-8572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Technician 374700000X

Profile Details

NPI number 1457483588
LBN Legal business name Ballard, Teresa Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
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 1457483588 NPPES
Kentucky MEDICAID 30605018

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