Ballou, Jason

Ballou, Jason is an individual health care provider with primary practice located at 55 Cummings Way , Woonsocket RI 02895-3247. 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, Jason can be contacted via phone (401) 235-7000.

Contact Information

Primary practice address
55 Cummings Way Woonsocket RI 02895-3247
Phone: (401) 235-7000
Fax: (401) 767-4516
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CDP00623 Rhode Island

Profile Details

NPI number 1336505106
LBN Legal business name Ballou, Jason
Credentials LCDP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2016
Last updated Jan 11th, 2016 - about 9 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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