Ballentine, Warren Other

Ballentine, Warren Other is an individual health care provider with primary practice located at 219 W Chicago Ave , Chicago IL 60654-5600. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Ballentine, Warren Other can be contacted via phone (919) 672-1818.

Contact Information

Primary practice address
219 W Chicago Ave Chicago IL 60654-5600
Phone: (919) 672-1818
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1245913987
LBN Legal business name Ballentine, Warren Other
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2023
Last updated Aug 9th, 2023 - about 2 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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