Ballard, Vicki

Ballard, Vicki is an individual health care provider with primary practice located at 723 E Main St , Olney IL 62450-2619. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist. Nursing Service Providers / Pediatrics is her primary health care specialty. Ballard, Vicki can be contacted via phone (618) 393-7732.

Contact Information

Primary practice address
723 E Main St Olney IL 62450-2619
Phone: (618) 393-7732
Fax: (618) 395-3123
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 41184984 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1487769634
LBN Legal business name Ballard, Vicki
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated Jul 8th, 2007 - about 19 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 1487769634 NPPES
Illinois Other 8030288 BLUECROSS/BLUESHIELD IL

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