Ballast, Christian
Ballast, Christian is an individual health care provider with primary practice located at 2158 Intelliplex Dr Suite 200, Shelbyville IN 46176-8846. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ballast, Christian can be contacted via phone (317) 392-3651.Contact Information
Primary practice address
2158 Intelliplex Dr Suite 200
Shelbyville IN 46176-8846
Phone: (317) 392-3651
Fax: (317) 398-0538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 01038703A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01038703A | Indiana |
Profile Details
| NPI number | 1720025174 |
|---|---|
| LBN Legal business name | Ballast, Christian |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Nov 23rd, 2016 - about 9 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 | 1720025174 | NPPES |
| Indiana | MEDICAID | 100317710 |
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