Ball, Edwin Grantham
Ball, Edwin Grantham is an individual health care provider with primary practice located at 2444 Commerce Rd , Jacksonville NC 28546-7560. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Ball, Edwin Grantham can be contacted via phone (910) 989-2800.Contact Information
Primary practice address
2444 Commerce Rd
Jacksonville NC 28546-7560
Phone: (910) 989-2800
Fax: (910) 346-2393
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | C004064 | North Carolina |
Profile Details
| NPI number | 1447291679 |
|---|---|
| LBN Legal business name | Ball, Edwin Grantham |
| Credentials | MSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1447291679 | NPPES |
| North Carolina | Other | 130P7 | BC/BS |
| North Carolina | MEDICAID | 6002715 | BC/BS |
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