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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659326783 NPPES
California MEDICAID 000E46260

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