Wilbourn, Rance Ballard
Wilbourn, Rance Ballard is an individual health care provider with primary practice located at 2215 West St Ste 100 , Germantown TN 38138. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Wilbourn, Rance Ballard can be contacted via phone (901) 440-8482.Contact Information
Primary practice address
2215 West St Ste 100
Germantown TN 38138
Phone: (901) 440-8482
Fax: (901) 440-8582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 20766 | Mississippi |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | IP958 | Kentucky |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 56737 | Tennessee |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 51679 | South Carolina |
Profile Details
| NPI number | 1063676690 |
|---|---|
| LBN Legal business name | Wilbourn, Rance Ballard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2008 |
| Last updated | Apr 27th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063676690 | NPPES |
| Arkansas | MEDICAID | 230387001 | |
| Arkansas | MEDICAID | Q063676690 | |
| Arkansas | MEDICAID | 04520877 |
Popular Providers
-
Kutsikovich, Gary R
8224 Mentor Ave Ste 126, Mentor OH 44060-5768 -
Rorick, Mark B
13170 Ravenna Rd Ste 102 , Chardon OH 44024-7022 -
Leung, Patrick K
1401 Harrodsburg Rd Ste C225, Lexington KY 40504-3751 -
D'Cruz, Arvind Alex
951 N Washington Ave Pmg. Hospitalist.Neurology Dept, Titusville FL 32796-2163 -
Natarajan, Shiva Shankar
7645 Wolf River Cir Suite 100, Germantown TN 38138-1751 -
Agner, Celso
1625 Se 3Rd Avenue Suite 623, Fort Lauderdale FL 33316-2521 -
Montejo, Raul Edward
2401 Frist Blvd Ste 2B , Fort Pierce FL 34950-4800 -
Benameur, Karima
7645 Wolf River Cir Ste 100 , Germantown TN 38138-1751