Ballard, Paul Allen

Ballard, Paul Allen is an individual health care provider with primary practice located at 5025 Shed Rd , Bossier City LA 71111-5434. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ballard, Paul Allen can be contacted via phone (318) 798-4623.

Contact Information

Primary practice address
5025 Shed Rd Bossier City LA 71111-5434
Phone: (318) 798-4623
Fax: (318) 795-4742
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 307181 Louisiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X Louisiana

Profile Details

NPI number 1114445798
LBN Legal business name Ballard, Paul Allen
Credentials PA-C, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 5th, 2017
Last updated Feb 2nd, 2026 - about 8 months 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 1114445798 NPPES
Louisiana MEDICAID 2457578
Louisiana Other 14219851

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