Ballou, Willie Benjamin

Ballou, Willie Benjamin is an individual health care provider with primary practice located at 4041 S Mcclintock Dr , Tempe AZ 85282-5879. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Ballou, Willie Benjamin can be contacted via phone (520) 233-7111.

Contact Information

Primary practice address
4041 S Mcclintock Dr Tempe AZ 85282-5879
Phone: (520) 233-7111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP127755 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 229136 Arizona

Profile Details

NPI number 1548657802
LBN Legal business name Ballou, Willie Benjamin
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 23rd, 2015
Last updated Jul 7th, 2021 - about 4 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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