Ballard, Gregory Paul

Ballard, Gregory Paul is an individual health care provider with primary practice located at 19550 E 39Th St S Suite 230, Independence MO 64057-2358. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Ballard, Gregory Paul can be contacted via phone (816) 795-6630.

Contact Information

Primary practice address
19550 E 39Th St S Suite 230 Independence MO 64057-2358
Phone: (816) 795-6630
Fax: (816) 795-6898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 0431759 Kansas
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 01062401A Indiana
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2007004694 Missouri

Profile Details

NPI number 1942367040
LBN Legal business name Ballard, Gregory Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jan 21st, 2022 - about 4 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 1942367040 NPPES
Kansas MEDICAID 200531110 A
Kansas MEDICAID 204046205

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