Active NPIIndividual provider

David W Ballard, IDC

Military Health Care Provider, Independent Duty Corpsman in Groton, Connecticut

NPI Number1396804621
Practice location
Naval Undersea Medical Institute, Submarine Base, Groton, CT 06349-5159
Fax
—
Last updated
December 29, 2008

David Wayne Ballard is a Military Health Care Provider, Independent Duty Corpsman based in Groton, CT. David Wayne Ballard practices in Groton, CT and has the professional credentials of IDC. The NPI Number for David Wayne Ballard is 1396804621. The current practice location address for David Wayne Ballard is Naval Undersea Medical Institute, Submarine Base, Groton, CT 06349-5159 and can be reached out via phone at 860-694-2876.

Provider Profile Details

NPI Number
1396804621
Provider Name
David Wayne Ballard
Credential
IDC
Provider Entity Type
Individual
Gender
Male
Address
Naval Undersea Medical Institute, Submarine Base, Groton, CT 06349-5159
Phone Number
860-694-2876
Sole Proprietor
No
Provider Enumeration Date
December 6, 2006
Last Update Date
December 29, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
Naval Undersea Medical Institute
Submarine Base
Groton, CT 06349-5159
City
Groton
Zip
06349-5159
Phone Number
860-694-2876
Groton, CT 06349Get directions →

Provider Business Mailing Address Details

Address
8 Sherwood Trace
Gales Ferry, CT 06335
City
Gales Ferry
State
CT
Zip
06335
Phone Number
860-514-0873

License Information

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of David W Ballard, IDC?

The NPI number of David W Ballard, IDC is 1396804621. It was assigned on December 6, 2006 and is currently active in the NPPES registry.

What is the specialty of David W Ballard, IDC?

David W Ballard, IDC is registered under the primary taxonomy Military Health Care Provider, Independent Duty Corpsman (code 1710I1002X).

Where does David W Ballard, IDC practice?

The practice location is Naval Undersea Medical Institute, Submarine Base, Groton, CT 06349-5159. The office can be reached at 860-694-2876 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396804621 directly on the NPPES registry website.

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