Ballentine, Hope Allyson

Ballentine, Hope Allyson is an individual health care provider with primary practice located at 1233 West Poplar Street , Rogers AR 72756-4245. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Ballentine, Hope Allyson can be contacted via phone (479) 636-9235.

Contact Information

Primary practice address
1233 West Poplar Street Rogers AR 72756-4245
Phone: (479) 636-9235
Fax: (479) 631-0374
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X M02110 CNM Arkansas

Profile Details

NPI number 1295989556
LBN Legal business name Ballentine, Hope Allyson
Credentials RN, CNM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 12th, 2008
Last updated Nov 8th, 2011 - about 14 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 1295989556 NPPES
Arkansas MEDICAID 178530799

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