Organization
BALL MEDICAL CLINIC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN EDWARD BALL D.O. (OWNER/DR)
(419) 483-7240
Entity
Organization
Contact information
Practice address
1255 W MAIN ST, STE A, BELLEVUE, OH 44811-9015
(419) 483-7240
(419) 483-2543
Mailing address
1255 W MAIN ST, STE A, BELLEVUE, OH 44811-9015
(419) 483-7240
(419) 483-2543
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34004957
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0824013
—
OH
Enumeration date
08/23/2006
Last updated
08/27/2015
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