Ballou, Laurence Havens
Ballou, Laurence Havens is an individual health care provider with primary practice located at 1011 N Fraser St , Georgetown SC 29440-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ballou, Laurence Havens can be contacted via phone (843) 527-3428.Contact Information
Primary practice address
1011 N Fraser St
Georgetown SC 29440-2848
Phone: (843) 527-3428
Fax: (843) 546-8216
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 10488 | South Carolina |
Profile Details
| NPI number | 1962487306 |
|---|---|
| LBN Legal business name | Ballou, Laurence Havens |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Jan 15th, 2014 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962487306 | NPPES |
| South Carolina | MEDICAID | 104880 |
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