Ballentine, Ralph E

Ballentine, Ralph E is an individual health care provider with primary practice located at 237 Fernwood Blvd , Fern Park FL 32730-2116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ballentine, Ralph E can be contacted via phone (407) 831-2411.

Contact Information

Primary practice address
237 Fernwood Blvd Fern Park FL 32730-2116
Phone: (407) 831-2411
Fax: (407) 831-0195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X ME17742 Florida

Profile Details

NPI number 1124154943
LBN Legal business name Ballentine, Ralph E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 26th, 2007
Last updated Apr 7th, 2011 - about 13 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 1124154943 NPPES
Florida MEDICAID 280555300

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