Ballard, Thomas W

Ballard, Thomas W is an individual health care provider with primary practice located at 55 W Tietan St , Walla Walla WA 99362-4445. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Ballard, Thomas W can be contacted via phone (509) 525-3720.

Contact Information

Primary practice address
55 W Tietan St Walla Walla WA 99362-4445
Phone: (509) 525-3720
Fax: (509) 522-1593
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD00026303 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 70118 Wisconsin
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 62466 Minnesota
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 47232 Florida

Profile Details

NPI number 1750360012
LBN Legal business name Ballard, Thomas W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 13th, 2006
Last updated Jan 22nd, 2019 - about 6 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 1750360012 NPPES
Florida MEDICAID 044157100

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