Ballis, Edward S

Ballis, Edward S is an sole proprietor health care provider with primary practice located at 115 W Silver St , Westfield MA 01085-3628. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Ballis, Edward S can be contacted via phone (413) 568-2811.

Contact Information

Primary practice address
115 W Silver St Westfield MA 01085-3628
Phone: (413) 568-2811
Fax: (413) 572-5192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 76517 Massachusetts

Profile Details

NPI number 1588753743
LBN Legal business name Ballis, Edward S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 12th, 2006
Last updated Jul 8th, 2007 - about 17 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 1588753743 NPPES
Massachusetts Other 076517 TUFTS
Massachusetts Other 10418 TUFTS
Massachusetts Other J12956 TUFTS
Massachusetts MEDICAID 3098281 TUFTS

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