Ballard, Phillip W

Ballard, Phillip W is an individual health care provider with primary practice located at 2610 Tenderfoot Hill St , Colorado Springs CO 80906. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Ballard, Phillip W can be contacted via phone (719) 576-3901.

Contact Information

Primary practice address
2610 Tenderfoot Hill St Colorado Springs CO 80906
Phone: (719) 576-3901
Fax: (719) 576-2025
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X DR.0023871 Colorado
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X DR.0023871 Colorado
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DR.0023871 Colorado

Profile Details

NPI number 1912996505
LBN Legal business name Ballard, Phillip W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Jun 15th, 2018 - about 8 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 1912996505 NPPES
Colorado MEDICAID 01238716

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