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 |
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