Ballo, Frances Stahl
Ballo, Frances Stahl is an individual health care provider with primary practice located at 2806 Riverview Dr , Green Bay WI 54313-6717. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Ballo, Frances Stahl can be contacted via phone (920) 498-7546.Contact Information
Primary practice address
2806 Riverview Dr
Green Bay WI 54313-6717
Phone: (920) 498-7546
Fax: (920) 569-4129
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 53126 | Wisconsin |
Profile Details
| NPI number | 1013022292 |
|---|---|
| LBN Legal business name | Ballo, Frances Stahl |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 16th, 2024 - about last year |
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 | 1013022292 | NPPES |
| Wisconsin | Other | 53126-020 | STATE LICENSE |
| Wisconsin | Other | 171400017 | STATE LICENSE |
| Wisconsin | MEDICAID | 1013022292 | STATE LICENSE |
| Wisconsin | MEDICAID | 2040633 | STATE LICENSE |
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