Ballenger, Joseph David

Ballenger, Joseph David is an individual health care provider with primary practice located at 339 W Iowa Ave , Nampa ID 83686-2856. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Ballenger, Joseph David can be contacted via phone (208) 467-1227.

Contact Information

Primary practice address
339 W Iowa Ave Nampa ID 83686-2856
Phone: (208) 467-1227
Fax: (208) 467-1299
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D20420S Idaho

Profile Details

NPI number 1598773749
LBN Legal business name Ballenger, Joseph David
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Feb 25th, 2008 - about 16 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 1598773749 NPPES
Idaho MEDICAID 002664000
Idaho MEDICAID 002664100

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