Ballo, Garrett Clyde

Ballo, Garrett Clyde is an sole proprietor health care provider with primary practice located at 116 Moss Creek Dr , Jacksonville NC 28540-3231. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Ballo, Garrett Clyde can be contacted via phone (805) 305-1868.

Contact Information

Primary practice address
116 Moss Creek Dr Jacksonville NC 28540-3231
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1386315695
LBN Legal business name Ballo, Garrett Clyde
Credentials MILITARY PROVIDER
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 26th, 2021
Last updated Nov 9th, 2021 - about 3 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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