Individual
JUSTIN KYLE BALLIET
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2000 SPROUL RD STE 100, BROOMALL, PA 19008-3509
(484) 337-5314
Mailing address
3803 W CHESTER PIKE STE 160, NEWTOWN SQUARE, PA 19073-2336
(484) 337-1632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
OA004604
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015234460006
—
PA
01
—
668795
MEDICARE UPIN
PA
Enumeration date
08/16/2018
Last updated
05/31/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us