Ballou, Christopher Buckingham

Ballou, Christopher Buckingham is an individual health care provider with primary practice located at 7430 College St , Irmo SC 29063-2903. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ballou, Christopher Buckingham can be contacted via phone (839) 200-7810.

Contact Information

Primary practice address
7430 College St Irmo SC 29063-2903
Phone: (839) 200-7810
Fax: (803) 891-7085
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27974 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 27974 South Carolina

Profile Details

NPI number 1659400943
LBN Legal business name Ballou, Christopher Buckingham
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Dec 6th, 2022 - about 2 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 1659400943 NPPES
South Carolina MEDICAID 279745

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