Ballert, John A

Ballert, John A is an individual health care provider with primary practice located at 2605 Kentucky Ave Ste 601 , Paducah KY 42003-3806. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Facial Plastic Surgery. Allopathic & Osteopathic Physicians / Facial Plastic Surgery is his primary health care specialty. Ballert, John A can be contacted via phone (270) 408-4368.

Contact Information

Primary practice address
2605 Kentucky Ave Ste 601 Paducah KY 42003-3806
Phone: (270) 408-4368
Fax: (270) 408-3272
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X ME104223 Florida
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X TP352 Kentucky
Allopathic & Osteopathic Physicians / Facial Plastic Surgery 207YS0123X 43767 Kentucky

Profile Details

NPI number 1831304088
LBN Legal business name Ballert, John A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2007
Last updated Sep 7th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1831304088 NPPES
Kentucky MEDICAID 7100138780

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