Individual
STEPHANIE L. BALLIET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1116 S 22ND ST, COLUMBUS, OH 43206-3011
(614) 622-4114
Mailing address
1116 S 22ND ST, COLUMBUS, OH 43206-3011
(614) 622-4114
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90-0868078
—
OH
Enumeration date
12/02/2020
Last updated
12/02/2020
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