John Ballou, is a
Rehabilitation Practitioner based in North Las Vegas, Nevada. John Ballou is licensed to practice in * (Not Available) (license number ) and his current practice location is
3020 Sunrise Bay Ave, North Las Vegas, Nevada. He can be reached at his office (for appointments etc.) via phone at
(702) 675-0201.
NPI number for John Ballou is 1255689311 and his current mailing address is 3020 Sunrise Bay Ave, North Las Vegas, Nevada. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1255689311.
Healthcare Provider's Profile
| Full Name | John Ballou |
|---|
| Gender | Male |
|---|
| Speciality | Rehabilitation Practitioner |
|---|
| Location | 3020 Sunrise Bay Ave, North Las Vegas, Nevada |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1255689311
- Provider Enumeration Date: 08/21/2012
- Last Update Date: 03/26/2013
Medical Identifiers
Medical identifiers for John Ballou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255689311 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 225400000X | Rehabilitation Practitioner | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. John Ballou is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
John Ballou,
3020 Sunrise Bay Ave,
North Las Vegas, NV 89031-0540
Ph: (702) 675-0201 | John Ballou,
3020 Sunrise Bay Ave,
North Las Vegas, NV 89031-0540
Ph: (702) 675-0201 |
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