Ballard, Randy Allan

Ballard, Randy Allan is an sole proprietor health care provider with primary practice located at 3112 Valerie Dr , Champaign IL 61822-1831. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Ballard, Randy Allan can be contacted via phone (217) 766-8137.

Contact Information

Primary practice address
3112 Valerie Dr Champaign IL 61822-1831
Phone: (217) 766-8137
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 096.001564 Illinois

Profile Details

NPI number 1710375712
LBN Legal business name Ballard, Randy Allan
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 30th, 2014
Last updated Dec 30th, 2014 - about 12 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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