Ballou, Bruce Allen
Ballou, Bruce Allen is an individual health care provider with primary practice located at 1202 Sw A Ave , Lawton OK 73501-3821. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Ballou, Bruce Allen can be contacted via phone (580) 357-8114.Contact Information
Primary practice address
1202 Sw A Ave
Lawton OK 73501-3821
Phone: (580) 357-8114
Fax: (580) 357-0079
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1982831186 |
|---|---|
| LBN Legal business name | Ballou, Bruce Allen |
| Credentials | BS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2009 |
| Last updated | Jun 15th, 2009 - about 16 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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