William Scott Ballinger,m.d. | |
770 Balgreen Dr Suite 203 Mansfield OH 44906-4106 | |
(419) 756-6366 | |
(419) 756-5549 |
Full Name | William Scott Ballinger,m.d. |
---|---|
Speciality | Internal Medicine |
Location | 770 Balgreen Dr, Mansfield, Ohio |
Authorized Official Name and Position | William Scott Ballinger (OWNER) |
Authorized Official Contact | 4197566366 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
William Scott Ballinger,m.d. 770 Balgreen Dr Suite 203 Mansfield OH 44906-4106 Ph: (419) 756-6366 | William Scott Ballinger,m.d. 770 Balgreen Dr Suite 203 Mansfield OH 44906-4106 Ph: (419) 756-6366 |
NPI Number | 1093085466 |
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Provider Enumeration Date | 01/03/2012 |
Last Update Date | 01/03/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093085466 | NPI | - | NPPES |
0554592 | Medicaid | OH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 35-04-6477B (Ohio) | Primary |
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