Ball, David Michael

Ball, David Michael is an individual health care provider with primary practice located at 2700 Nw Stewart Pkwy Annex B, Roseburg OR 97471-1281. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Ball, David Michael can be contacted via phone (541) 440-3532.

Contact Information

Primary practice address
2700 Nw Stewart Pkwy Annex B Roseburg OR 97471-1281
Phone: (541) 440-3532
Fax: (541) 440-3554
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X T0882 Oregon

Profile Details

NPI number 1780874438
LBN Legal business name Ball, David Michael
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Jan 27th, 2015 - about 11 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 1780874438 NPPES
Oregon Other 120966 AAMFT MEMBER ID
Oregon MEDICAID 500660852 AAMFT MEMBER ID

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