Ballard, Tim Scott

Ballard, Tim Scott is an sole proprietor health care provider with primary practice located at 519 S 4Th St W , Missoula MT 59801-2629. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Ballard, Tim Scott can be contacted via phone (406) 240-7924.

Contact Information

Primary practice address
519 S 4Th St W Missoula MT 59801-2629
Phone: (406) 240-7924
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 1154 Montana

Profile Details

NPI number 1538379425
LBN Legal business name Ballard, Tim Scott
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 22nd, 2007
Last updated Jul 9th, 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 1538379425 NPPES
Montana MEDICAID 0256496
Montana Other 741820

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