Baller, Jeff

Baller, Jeff is an individual health care provider with primary practice located at 2405 Wadsworth Blvd , Lakewood CO 80214-5713. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Baller, Jeff can be contacted via phone (303) 237-4967.

Contact Information

Primary practice address
2405 Wadsworth Blvd Lakewood CO 80214-5713
Phone: (303) 237-4967
Fax: (303) 237-4966
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 208 Colorado

Profile Details

NPI number 1144392507
LBN Legal business name Baller, Jeff
Credentials AU.D., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Feb 13th, 2015 - about 9 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 1144392507 NPPES
Colorado MEDICAID 07091176

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