Ballard, Pamela A

Ballard, Pamela A is an individual health care provider with primary practice located at 7N315 Sycamore Ave , Medinah IL 60157-9799. She recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as her primary health care specialty. Ballard, Pamela A can be contacted via phone (630) 307-7463.

Contact Information

Primary practice address
7N315 Sycamore Ave Medinah IL 60157-9799
Phone: (630) 307-7463
Fax: (630) 529-0087
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X 038-006728 Illinois

Profile Details

NPI number 1457576621
LBN Legal business name Ballard, Pamela A
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2007
Last updated Aug 10th, 2022 - about 3 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 1457576621 NPPES
Illinois Other 02232227 BLUECROSS BLUESHIELD
Illinois Other 208982 BLUECROSS BLUESHIELD
Illinois MEDICAID 038006728 BLUECROSS BLUESHIELD

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