Ballenger, Zachary E
Ballenger, Zachary E is an individual health care provider with primary practice located at 1055 Saxon Blvd , Orange City FL 32763-8468. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ballenger, Zachary E can be contacted via phone (386) 917-5000.Contact Information
Primary practice address
1055 Saxon Blvd
Orange City FL 32763-8468
Phone: (386) 917-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 11016227A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 01071787A | Indiana |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | Q4896 | Texas |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | ME144863 | Florida |
Profile Details
| NPI number | 1417236902 |
|---|---|
| LBN Legal business name | Ballenger, Zachary E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 15th, 2011 |
| Last updated | Oct 21st, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417236902 | NPPES |
| Indiana | MEDICAID | 201106150 |
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