Ballard, William Timothy

Ballard, William Timothy is an individual health care provider with primary practice located at 2415 Mccallie Ave , Chattanooga TN 37404-3322. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Ballard, William Timothy can be contacted via phone (423) 624-2696.

Contact Information

Primary practice address
2415 Mccallie Ave Chattanooga TN 37404-3322
Phone: (423) 624-2696
Fax: (423) 697-2059
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 027703 Tennessee
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD27703 Tennessee

Profile Details

NPI number 1992701999
LBN Legal business name Ballard, William Timothy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Sep 4th, 2012 - about 13 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 1992701999 NPPES
Tennessee MEDICAID 3800986
Tennessee Other 3036168

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