Ballinger, Larry Clay
Ballinger, Larry Clay is an individual health care provider with primary practice located at 3811 Valley Centre Dr , San Diego CA 92130-3318. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Ballinger, Larry Clay can be contacted via phone (858) 554-9300.Contact Information
Primary practice address
3811 Valley Centre Dr
San Diego CA 92130-3318
Phone: (858) 554-9300
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | E4626 | California |
Profile Details
NPI number | 1659326783 |
---|---|
LBN Legal business name | Ballinger, Larry Clay |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 24th, 2006 |
Last updated | Jun 24th, 2009 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1659326783 | NPPES |
California | MEDICAID | 000E46260 |
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