Ballaron, Shelby

Ballaron, Shelby is an individual health care provider with primary practice located at 1900 E Commercial Blvd Ste 201 , Fort Lauderdale FL 33308-3746. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ballaron, Shelby can be contacted via phone (954) 928-1778.

Contact Information

Primary practice address
1900 E Commercial Blvd Ste 201 Fort Lauderdale FL 33308-3746
Phone: (954) 928-1778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 0110-006205 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Virginia

Profile Details

NPI number 1457842924
LBN Legal business name Ballaron, Shelby
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2018
Last updated Dec 8th, 2021 - about 4 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 1457842924 NPPES
Virginia MEDICAID 1841550035

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