Ballo, Matthew T.

Ballo, Matthew T. is an individual health care provider with primary practice located at 100 N Humphreys Blvd , Memphis TN 38120-2146. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Ballo, Matthew T. can be contacted via phone (901) 683-0055.

Contact Information

Primary practice address
100 N Humphreys Blvd Memphis TN 38120-2146
Phone: (901) 683-0055
Fax: (901) 685-2969
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X L0014 Texas
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 50791 Tennessee

Profile Details

NPI number 1013017094
LBN Legal business name Ballo, Matthew T.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 22nd, 2006
Last updated Dec 4th, 2013 - about 11 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 1013017094 NPPES
Texas MEDICAID 45529701

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