Shelby F Ballou, DO
Student in an Organized Health Care Education/Training Program in Worcester, Massachusetts
1619505245- Practice location
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone
- 508-334-1000
- Fax
- —
- Last updated
- October 27, 2022
Shelby Friel Ballou is a Student in an Organized Health Care Education/Training Program based in Worcester, MA. Shelby Friel Ballou practices in Worcester, MA and has the professional credentials of DO. The NPI Number for Shelby Friel Ballou is 1619505245. The current practice location address for Shelby Friel Ballou is 55 Lake Ave N, Worcester, MA 01655-0002 and can be reached out via phone at 508-334-1000.
Provider Profile Details
- NPI Number
- 1619505245
- Provider Name
- Shelby Friel Ballou
- Credential
- DO
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Lake Ave N, Worcester, MA 01655-0002
- Phone Number
- 508-334-1000
- Primary Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X
- Sole Proprietor
- No
- Other Names
- Shelby Lee Friel, DO (Former Name)
- Provider Enumeration Date
- March 30, 2020
- Last Update Date
- October 27, 2022
- Certification Date
- October 27, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- Massachusetts
- Zip
- 01655-0002
- Phone Number
- 508-334-1000
Provider Business Mailing Address Details
- Address
- 55 Lake Ave N
Worcester, MA 01655-0002 - City
- Worcester
- State
- MA
- Zip
- 01655-0002
- Phone Number
- 508-334-1000
License Information
- Taxonomy
- Student in an Organized Health Care Education/Training Program · 390200000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Shelby F Ballou, DO?
The NPI number of Shelby F Ballou, DO is 1619505245. It was assigned on March 30, 2020 and is currently active in the NPPES registry.
What is the specialty of Shelby F Ballou, DO?
Shelby F Ballou, DO is registered under the primary taxonomy Student in an Organized Health Care Education/Training Program (code 390200000X).
Where does Shelby F Ballou, DO practice?
The practice location is 55 Lake Ave N, Worcester, MA 01655-0002. The office can be reached at 508-334-1000 (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 1619505245 directly on the NPPES registry website.