Ballow, Shana Lynn

Ballow, Shana Lynn is an individual health care provider with primary practice located at 2823 Fresno St , Fresno CA 93721-1324. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Trauma Surgery is her primary health care specialty. Ballow, Shana Lynn can be contacted via phone (559) 459-3770.

Contact Information

Primary practice address
2823 Fresno St Fresno CA 93721-1324
Phone: (559) 459-3770
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 20A10299 California
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X 20A10299 California

Profile Details

NPI number 1275821936
LBN Legal business name Ballow, Shana Lynn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 15th, 2011
Last updated Jan 9th, 2020 - about 5 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 1275821936 NPPES
California MEDICAID 1538417381

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