Robert Lee Ballou in Corbin - General Practice
Robert Lee Ballou - NPI 1891890679
Robert Lee Ballou is a General Practice in Corbin, Kentucky. Robert Lee Ballou practices all healthcare services and medical treatments related to General Practice. The NPI Number for Robert Lee Ballou is 1891890679. The last update date is 2008-03-10.
Robert Lee Ballou's current location address is 109 N Main St, Corbin, Kentucky. You can contact this provider via phone number 6065282350 and fax number 6065285507. The mailing address for Robert Lee Ballou is 109 N Main St, Corbin, Kentucky. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert Lee Ballou |
|---|---|
| Address | 109 N Main St, Corbin, Kentucky |
| Phone Number | 6065282350 |
| Fax Number | 6065285507 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1891890679 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2008-03-10 |
Provider Mailing Address Detail
| Address | 109 N Main St |
|---|---|
| City | Corbin |
| State | Kentucky (KY) |
| Post Code | 40701 |
| Phone Number | 6065282350 |
| Fax Number | 6065285507 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 3989 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 60039898 | KY | -- | |
| 4240857 | TN | TENN CARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Robert Lee Ballou by the Centers for Medicare & Medicaid Services?
The Robert Lee Ballou has been assigned the NPI (National Provider Identifier) 1891890679 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Robert Lee Ballou's facilities are geographically located?
The facilities of Robert Lee Ballou are physically situated at the following location: 109 N Main St, Corbin, KY, 40701.
What is the Robert Lee Ballou's area of specialization and corresponding taxonomy classification?
The Robert Lee Ballou's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1891890679 to Robert Lee Ballou?
The Centers for Medicare & Medicaid Services originally issued the 1891890679 to Robert Lee Ballou on 2006-09-14.
As of what date were the details related to Robert Lee Ballou most recently updated or revised?
The information pertaining to Robert Lee Ballou, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-10.