Ballinger, Keith E.
Ballinger, Keith E. is an individual health care provider with primary practice located at 1000 Health Center Dr Ste 305 , Mattoon IL 61938-4644. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Allopathic & Osteopathic Physicians / Urology. Allopathic & Osteopathic Physicians / Urology is his primary health care specialty. Ballinger, Keith E. can be contacted via phone (217) 258-4186.Contact Information
Primary practice address
1000 Health Center Dr Ste 305
Mattoon IL 61938-4644
Phone: (217) 258-4186
Fax: (217) 348-4185
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085001872 | Illinois |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 085001872 | Illinois |
Profile Details
| NPI number | 1114934759 |
|---|---|
| LBN Legal business name | Ballinger, Keith E. |
| Credentials | PA C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Nov 11th, 2022 - about 4 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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