Ballou, Sheldon A
Ballou, Sheldon A is an sole proprietor health care provider with primary practice located at 203 S Dixie Hwy , Cave City KY 42127. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Ballou, Sheldon A can be contacted via phone (270) 773-3943.Contact Information
Primary practice address
203 S Dixie Hwy
Cave City KY 42127
Phone: (270) 773-3943
Fax: (270) 773-3944
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 6425 | Kentucky |
Profile Details
| NPI number | 1578668562 |
|---|---|
| LBN Legal business name | Ballou, Sheldon A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Oct 21st, 2011 - about 14 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 | 1578668562 | NPPES |
| Kentucky | MEDICAID | 61901096 |
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