Ballard, Timothy Eugene

Ballard, Timothy Eugene is an individual health care provider with primary practice located at 10800 Parkside Dr Ste 331 , Knoxville TN 37934-1922. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Ballard, Timothy Eugene can be contacted via phone (865) 392-3400.

Contact Information

Primary practice address
10800 Parkside Dr Ste 331 Knoxville TN 37934-1922
Phone: (865) 392-3400
Fax: (865) 392-3449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 12329 Tennessee

Profile Details

NPI number 1053411355
LBN Legal business name Ballard, Timothy Eugene
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Sep 14th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1053411355 NPPES
Tennessee MEDICAID Q017562

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