Ballard, Christopher J

Ballard, Christopher J is an individual health care provider with primary practice located at 11200 Seminole Blvd Ste 205 , Largo FL 33778-3240. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Ballard, Christopher J can be contacted via phone (813) 321-1786.

Contact Information

Primary practice address
11200 Seminole Blvd Ste 205 Largo FL 33778-3240
Phone: (813) 321-1786
Fax: (813) 321-1787
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X ME109317 Florida

Profile Details

NPI number 1164679668
LBN Legal business name Ballard, Christopher J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Jan 15th, 2019 - about 7 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 1164679668 NPPES
Florida Other 14FN0 BCBS OF FLORIDA
Florida Other 349086 BCBS OF FLORIDA
Florida Other P00977190 BCBS OF FLORIDA
Florida Other 7724400 BCBS OF FLORIDA
Florida MEDICAID 003995300 BCBS OF FLORIDA
Florida Other 1086695 BCBS OF FLORIDA
Florida Other 9836728 BCBS OF FLORIDA

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