Ballard, Walter Daniel
Ballard, Walter Daniel is an sole proprietor health care provider with primary practice located at 24 Parkway Commons Way , Greer SC 29650-5213. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ballard, Walter Daniel can be contacted via phone (864) 848-3300.Contact Information
Primary practice address
24 Parkway Commons Way
Greer SC 29650-5213
Phone: (864) 848-3300
Fax: (864) 848-2100
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 37 | South Carolina |
Profile Details
| NPI number | 1194776294 |
|---|---|
| LBN Legal business name | Ballard, Walter Daniel |
| Credentials | CERTIFIED PEDORTHIST |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 13th, 2006 |
| Last updated | Nov 16th, 2007 - about 18 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 | 1194776294 | NPPES |
| South Carolina | MEDICAID | DE1002 | |
| South Carolina | MEDICAID | 7702097 |
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