Ball, Gregory R

Ball, Gregory R is an individual health care provider with primary practice located at 775 Pole Line Rd W Suite 315, Twin Falls ID 83301-5814. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Ball, Gregory R can be contacted via phone (208) 814-8750.

Contact Information

Primary practice address
775 Pole Line Rd W Suite 315 Twin Falls ID 83301-5814
Phone: (208) 814-8750
Fax: (208) 814-8937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X O0575 Idaho
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X O0575 Idaho

Profile Details

NPI number 1407985278
LBN Legal business name Ball, Gregory R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jan 16th, 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 1407985278 NPPES
Idaho MEDICAID 1407985278
Idaho Other P0034096

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