Ballard, Tiffany
Ballard, Tiffany is an individual health care provider with primary practice located at 3229 Broadway Ste 115 , Gary IN 46409-1040. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Ballard, Tiffany can be contacted via phone (219) 806-3000.Contact Information
Primary practice address
3229 Broadway Ste 115
Gary IN 46409-1040
Phone: (219) 806-3000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 13007024A | Indiana |
Profile Details
| NPI number | 1861034076 |
|---|---|
| LBN Legal business name | Ballard, Tiffany |
| Credentials | LDH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 9th, 2019 |
| Last updated | Oct 9th, 2019 - about 5 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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