Individual
DR. CONNIE S BALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
66 W CENTRAL AVE, SPRINGBORO, OH 45066-1138
(937) 748-5346
(937) 748-5369
Mailing address
562 N MAIN ST, SPRINGBORO, OH 45066-9552
(937) 748-5346
(937) 748-5369
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35067559
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000338258
ANTHEM BCBS
—
01
—
0112593
UNITED HEALTHCARE
—
05
—
0168894
—
OH
01
—
363899941026
CARESOURCE
—
01
—
3836999415668002
AETNA
—
01
—
D67559
HUMANA
—
Enumeration date
08/29/2006
Last updated
08/06/2021
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