Ballard, Dorothy M

Ballard, Dorothy M is an individual health care provider with primary practice located at 171 Kempsville Rd Building B, Norfolk VA 23502-4700. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Ballard, Dorothy M can be contacted via phone (757) 668-6500.

Contact Information

Primary practice address
171 Kempsville Rd Building B Norfolk VA 23502-4700
Phone: (757) 668-6500
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 0101238062 Virginia

Profile Details

NPI number 1619910098
LBN Legal business name Ballard, Dorothy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated May 24th, 2023 - about 3 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 1619910098 NPPES
Other 541778786001 TRICARE
MEDICAID 5900918 TRICARE
Other 180151 TRICARE
Other 2133678 TRICARE
Other 95761 TRICARE
Other 010170052 TRICARE
MEDICAID 010170052 TRICARE

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