Ballard, Noble Lee

Ballard, Noble Lee is an individual health care provider with primary practice located at 205 S Park Ln , Altus OK 73521-5755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Ballard, Noble Lee can be contacted via phone (580) 379-6650.

Contact Information

Primary practice address
205 S Park Ln Altus OK 73521-5755
Phone: (580) 379-6650
Fax: (580) 379-6659
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 8237 Oklahoma

Profile Details

NPI number 1639125727
LBN Legal business name Ballard, Noble Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Apr 13th, 2015 - about 11 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 1639125727 NPPES
Oklahoma MEDICAID 100116210A

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