Ballard, David Lee

Ballard, David Lee is an individual health care provider with primary practice located at 2450 W Charleston Blvd , Las Vegas NV 89102. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Ballard, David Lee can be contacted via phone (702) 872-8660.

Contact Information

Primary practice address
2450 W Charleston Blvd Las Vegas NV 89102
Phone: (702) 872-8660
Fax: (702) 258-1322
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X CRNA000041 Nevada

Profile Details

NPI number 1821068917
LBN Legal business name Ballard, David Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 23rd, 2006
Last updated Jan 28th, 2008 - about 17 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 1821068917 NPPES
Nevada MEDICAID 2402014

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