Ballard, Devon

Ballard, Devon is an individual health care provider with primary practice located at 1308 E Kiehl Ave , Sherwood AR 72120-3040. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ballard, Devon can be contacted via phone (501) 835-0703.

Contact Information

Primary practice address
1308 E Kiehl Ave Sherwood AR 72120-3040
Phone: (501) 835-0703
Fax: (501) 834-6249
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X E-2021 Arkansas

Profile Details

NPI number 1548203664
LBN Legal business name Ballard, Devon
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Dec 6th, 2011 - about 14 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 1548203664 NPPES
Arkansas Other 1980618 UHC
Arkansas Other 19263000040 UHC
Arkansas MEDICAID 139806001 UHC
Arkansas Other 535735 UHC
Arkansas Other 5L407 UHC
Arkansas Other 7164107 UHC

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