Ballou, Michele K

Ballou, Michele K is an individual health care provider with primary practice located at 200 Arh Lane Ste. 102, Low Moor VA 24457-0007. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as her primary health care specialty. Ballou, Michele K can be contacted via phone (540) 862-6710.

Contact Information

Primary practice address
200 Arh Lane Ste. 102 Low Moor VA 24457-0007
Fax: (540) 862-9167
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 0101036698 Virginia

Profile Details

NPI number 1730184789
LBN Legal business name Ballou, Michele K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Feb 8th, 2019 - about 6 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 1730184789 NPPES
Virginia MEDICAID 006099483

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