Ballo, Bela R.

Ballo, Bela R. is an individual health care provider with primary practice located at 1789 Shawano Ave , Green Bay WI 54303-3243. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Ballo, Bela R. can be contacted via phone (920) 499-1428.

Contact Information

Primary practice address
1789 Shawano Ave Green Bay WI 54303-3243
Phone: (920) 499-1428
Fax: (920) 499-7080
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 35-06-8549 Ohio
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4301116279 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 54055 Wisconsin

Profile Details

NPI number 1275551160
LBN Legal business name Ballo, Bela R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Dec 12th, 2018 - about 6 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 1275551160 NPPES
Wisconsin Other K400134453 PTAN
Wisconsin MEDICAID 176902 PTAN

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