Ballhagen, Jay T.

Ballhagen, Jay T. is an sole proprietor health care provider with primary practice located at 10500 W Waterway Ct , Boise ID 83714-3616. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Ballhagen, Jay T. can be contacted via phone (208) 853-5556.

Contact Information

Primary practice address
10500 W Waterway Ct Boise ID 83714-3616
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 3414 Montana

Profile Details

NPI number 1356589931
LBN Legal business name Ballhagen, Jay T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 4th, 2009
Last updated Feb 4th, 2009 - about 16 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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