Ballard, Tyler David
Ballard, Tyler David is an individual health care provider with primary practice located at 2070 E Hill Rd , Grand Blanc MI 48439-5108. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ballard, Tyler David can be contacted via phone (810) 695-5353.Contact Information
Primary practice address
2070 E Hill Rd
Grand Blanc MI 48439-5108
Phone: (810) 695-5353
Fax: (810) 695-0616
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601008839 | Michigan |
Profile Details
| NPI number | 1679058630 |
|---|---|
| LBN Legal business name | Ballard, Tyler David |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2018 |
| Last updated | Aug 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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