Ballesteros, Mark

Ballesteros, Mark is an individual health care provider with primary practice located at 559 Vincent St , Peterson Afb CO 80914-1541. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Ballesteros, Mark can be contacted via phone (719) 556-1108.

Contact Information

Primary practice address
559 Vincent St Peterson Afb CO 80914-1541
Phone: (719) 556-1108
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 12859 Arizona

Profile Details

NPI number 1245277888
LBN Legal business name Ballesteros, Mark
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Mar 23rd, 2021 - about 3 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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