Ballou, Elise W

Ballou, Elise W is an individual health care provider with primary practice located at 275 E Rivulon Blvd Ste 201 , Gilbert AZ 85297-0008. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ballou, Elise W can be contacted via phone (602) 734-5664.

Contact Information

Primary practice address
275 E Rivulon Blvd Ste 201 Gilbert AZ 85297-0008
Phone: (602) 734-5664
Fax: (480) 401-3844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5902 Arizona

Profile Details

NPI number 1720485147
LBN Legal business name Ballou, Elise W
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2014
Last updated Apr 10th, 2018 - about 8 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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