Ballard Glenn Blair in Shelton - Primary Podiatric Medicine
Ballard Glenn Blair - NPI 1356350201
Ballard Glenn Blair is a Primary Podiatric Medicine in Shelton, Connecticut. Ballard Glenn Blair practices all healthcare services and medical treatments related to Primary Podiatric Medicine. The NPI Number for Ballard Glenn Blair is 1356350201. The last update date is 2013-09-04.
Ballard Glenn Blair's current location address is 375 Bridgeport Ave, Shelton, Connecticut. You can contact this provider via phone number 2039295559 and fax number 2039295277. The mailing address for Ballard Glenn Blair is 375 Bridgeport Ave, Shelton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ballard Glenn Blair |
|---|---|
| Address | 375 Bridgeport Ave, Shelton, Connecticut |
| Phone Number | 2039295559 |
| Fax Number | 2039295277 |
| Sole Proprietor | Y |
| Credentials | D.P.M |
NPI Number Detail
| NPI Number | 1356350201 |
|---|---|
| Provider Enumeration Date | 2006-08-07 |
| Last Updated Date | 2013-09-04 |
Provider Mailing Address Detail
| Address | 375 Bridgeport Ave |
|---|---|
| City | Shelton |
| State | Connecticut (CT) |
| Post Code | 6484 |
| Phone Number | 2039295559 |
| Fax Number | 2039295277 |
Provider's Primary Taxonomy Detail
| Speciality | Primary Podiatric Medicine |
|---|---|
| Taxonomy | 213Ep1101X |
| Licence No | 419 |
|
Definition: A doctor of podiatric medicine expert in general podiatry health services related to medical diagnoses and treatment of the foot, ankle and lower extremities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4070918 | CT | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Ballard Glenn Blair by the Centers for Medicare & Medicaid Services?
The Ballard Glenn Blair has been issued the NPI (National Provider Identifier) 1356350201 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Ballard Glenn Blair?
The Ballard Glenn Blair is situated at 375 Bridgeport Ave, in the city of Shelton, state of CT, with the zip code 6484.
What is the Ballard Glenn Blair's specialty and taxonomy code?
The Ballard Glenn Blair's specialty is Primary Podiatric Medicine, and the corresponding taxonomy code is 213Ep1101X.
When was the Ballard Glenn Blair's 1356350201 issued?
The Ballard Glenn Blair's 1356350201 was issued on 2006-08-07.
When was the information related to Ballard Glenn Blair most recently updated or refreshed?
The details pertaining to the Ballard Glenn Blair, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-09-04.
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