Individual
SARAH A BALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1235 E ALEX BELL RD, CENTERVILLE, OH 45459-2658
(937) 435-6400
(937) 435-4793
Mailing address
1235 E ALEX BELL RD, CENTERVILLE, OH 45459-2658
(937) 435-6400
(937) 435-4793
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50-002821
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50002821
STATE LICNSE
OH
01
—
55.000765
STATE PRESCRIBING LICENSE NUMBER
OH
Enumeration date
10/09/2008
Last updated
01/05/2014
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