Ballew, Dawn
Ballew, Dawn is an sole proprietor health care provider with primary practice located at 315 N College Ave , Tahlequah OK 74464-2703. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ballew, Dawn can be contacted via phone (918) 453-1171.Contact Information
Primary practice address
315 N College Ave
Tahlequah OK 74464-2703
Phone: (918) 453-1171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 4951 | Oklahoma |
Profile Details
| NPI number | 1386017374 |
|---|---|
| LBN Legal business name | Ballew, Dawn |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 12th, 2015 |
| Last updated | Nov 12th, 2015 - about 11 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 | 1386017374 | NPPES |
| Oklahoma | MEDICAID | 200606480 A |
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