Ballough, Robert
Ballough, Robert is an individual health care provider with primary practice located at 94 Connecticut Blvd , East Hartford CT 06108-3013. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Ballough, Robert can be contacted via phone (860) 528-1359.Contact Information
Primary practice address
94 Connecticut Blvd
East Hartford CT 06108-3013
Phone: (860) 528-1359
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 002079 | Connecticut |
Profile Details
| NPI number | 1851551972 |
|---|---|
| LBN Legal business name | Ballough, Robert |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2008 |
| Last updated | Apr 30th, 2024 - about 7 months 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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