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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538379425 | NPPES |
| Montana | MEDICAID | 0256496 | |
| Montana | Other | 741820 |
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