Ballou, Mary
Ballou, Mary is an individual health care provider with primary practice located at 1551 Clay St , Winter Park FL 32789-5499. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Ballou, Mary can be contacted via phone (407) 644-5371.Contact Information
Primary practice address
1551 Clay St
Winter Park FL 32789-5499
Phone: (407) 644-5371
Fax: (407) 644-1417
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | ARNP2075302 | Florida |
Profile Details
| NPI number | 1336445147 |
|---|---|
| LBN Legal business name | Ballou, Mary |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 27th, 2011 |
| Last updated | Feb 22nd, 2012 - about 14 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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