Ballard, Jeffrey Frederik

Ballard, Jeffrey Frederik is an individual health care provider with primary practice located at 225 Smith Ave N Suite 200, Saint Paul MN 55102-2533. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Ballard, Jeffrey Frederik can be contacted via phone (952) 946-9777.

Contact Information

Primary practice address
225 Smith Ave N Suite 200 Saint Paul MN 55102-2533
Phone: (952) 946-9777
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10148 Minnesota

Profile Details

NPI number 1942289871
LBN Legal business name Ballard, Jeffrey Frederik
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 10th, 2006
Last updated Mar 11th, 2021 - about 5 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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