Ballard, Pamela
Ballard, Pamela is an individual health care provider with primary practice located at 102 Irving St Nw , Washington DC 20010-2921. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Ballard, Pamela can be contacted via phone (202) 877-1170.Contact Information
Primary practice address
102 Irving St Nw
Washington DC 20010-2921
Phone: (202) 877-1170
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 19091 | District of Columbia |
Profile Details
| NPI number | 1366410722 |
|---|---|
| LBN Legal business name | Ballard, Pamela |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 10th, 2006 |
| Last updated | Dec 10th, 2007 - about 19 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 | 1366410722 | NPPES |
| Other | 112522 | KAISER | |
| Other | 411438 | KAISER | |
| Other | 7639069003 | KAISER | |
| Other | 520846-01 | KAISER | |
| Other | 5460-0036 | KAISER | |
| Other | 852241 | KAISER | |
| Other | 4398916 | KAISER | |
| Other | 494959 | KAISER |
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