Ballard, Ellen Vandergust
Ballard, Ellen Vandergust is an individual health care provider with primary practice located at 111 Longview Suite B-3, White Rock NM 87544. She recently has only one registered license in Dental Providers / General Practice, which is considered as her primary health care specialty. Ballard, Ellen Vandergust can be contacted via phone (505) 672-2020.Contact Information
Primary practice address
111 Longview Suite B-3
White Rock NM 87544
Phone: (505) 672-2020
Fax: (505) 672-2020
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1668 | New Mexico |
Profile Details
| NPI number | 1649452129 |
|---|---|
| LBN Legal business name | Ballard, Ellen Vandergust |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 27th, 2007 |
| Last updated | Nov 27th, 2007 - about 19 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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