Ballast, Christian

Ballast, Christian is an individual health care provider with primary practice located at 2158 Intelliplex Dr Suite 200, Shelbyville IN 46176-8846. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Ballast, Christian can be contacted via phone (317) 392-3651.

Contact Information

Primary practice address
2158 Intelliplex Dr Suite 200 Shelbyville IN 46176-8846
Phone: (317) 392-3651
Fax: (317) 398-0538
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01038703A Indiana
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01038703A Indiana

Profile Details

NPI number 1720025174
LBN Legal business name Ballast, Christian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Nov 23rd, 2016 - about 10 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 1720025174 NPPES
Indiana MEDICAID 100317710

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