Ballard, Jacob E

Ballard, Jacob E is an individual health care provider with primary practice located at 464 Saint Lukes Dr , Montgomery AL 36117-7104. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ballard, Jacob E can be contacted via phone (334) 272-0853.

Contact Information

Primary practice address
464 Saint Lukes Dr Montgomery AL 36117-7104
Phone: (334) 272-0853
Fax: (334) 272-0871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 1049 Alabama

Profile Details

NPI number 1558645713
LBN Legal business name Ballard, Jacob E
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2011
Last updated Oct 6th, 2011 - about 15 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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