Ballard, La Dena Ann
Ballard, La Dena Ann is an individual health care provider with primary practice located at 1809 E 13Th St Suite 100, Tulsa OK 74104-4419. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ballard, La Dena Ann can be contacted via phone (918) 582-6800.Contact Information
Primary practice address
1809 E 13Th St Suite 100
Tulsa OK 74104-4419
Phone: (918) 582-6800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 1467 | Oklahoma |
Profile Details
| NPI number | 1740241553 |
|---|---|
| LBN Legal business name | Ballard, La Dena Ann |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Aug 20th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740241553 | NPPES |
| Oklahoma | MEDICAID | 200063150A |
Popular Providers
-
Harrison, Christie Lee
1111 S St Louis Ave , Tulsa OK 74120 -
Ramirez, Rose
1145 S Utica Ave Suite 701, Tulsa OK 74104-4000 -
Brookover, Amy K
4802 S 109Th East Ave , Tulsa OK 74146-5822 -
Morrison, Stacey L
2929 S Garnett Rd , Tulsa OK 74129-5101 -
Webb, Kizzy Joy
10507 E 91St St Suite 550, Tulsa OK 74133-5589 -
Popp, Jodie L.
1809 E 13Th St Suite 100, Tulsa OK 74104-4419 -
Elder, Amanda Jean
1705 E 19Th St Suite 302, Tulsa OK 74104-5405 -
Jimison, Jon F
6475 S Yale Ave Ste 308 , Tulsa OK 74136-7816