Ballenger, Laura M
Ballenger, Laura M is an individual health care provider with primary practice located at 517 S Coit St , Florence SC 29501-5220. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Ballenger, Laura M can be contacted via phone (843) 407-1565.Contact Information
Primary practice address
517 S Coit St
Florence SC 29501-5220
Phone: (843) 407-1565
Fax: (843) 407-6748
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 5283 | South Carolina |
Profile Details
| NPI number | 1417164757 |
|---|---|
| LBN Legal business name | Ballenger, Laura M |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2007 |
| Last updated | May 29th, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417164757 | NPPES |
| South Carolina | MEDICAID | 376241 |
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