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Ballard Glenn Blair

Podiatrist Radiology Foot & Ankle Surgery Primary Podiatric Medicine

375 Bridgeport Ave
Shelton , Connecticut 06484

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Ballard Glenn Blair

Podiatrist Radiology Foot & Ankle Surgery Primary Podiatric Medicine

375 Bridgeport Ave
Shelton , Connecticut 06484

(203) 929-5277

Write a Review Save Call

Ballard Glenn Blair

Podiatrist Radiology Foot & Ankle Surgery Primary Podiatric Medicine

375 Bridgeport Ave
Shelton , Connecticut 06484

(203) 929-5277 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Podiatrist
  • Primary Podiatric Medicine
  • Radiology
  • Foot & Ankle Surgery

Languages spoken

  • English

Location

375 Bridgeport Ave Shelton , Connecticut 06484

First Address

  • Ballard Glenn Blair
  • 375 Bridgeport Ave
  • Shelton, CT
  • Zip : 06484
  • Fax : (203) 929-5277
  • Phone : (203) 929-5559

Second Address

  • Ballard Glenn Blair
  • 375 Bridgeport Ave
  • Shelton, CT
  • Zip : 06484
  • Fax : (203) 929-5277
  • Phone : (203) 929-5559

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FAQs


Where did Ballard Glenn Blair attend graduate school?

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Where did Ballard Glenn Blair do his residency?

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Where did Ballard Glenn Blair do his fellowship?

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Is Ballard Glenn Blair board certified?

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What type of doctor is Ballard Glenn Blair

Primary Podiatric Medicine

In what state does Ballard Glenn Blair practice in?

Connecticut

Where is Ballard Glenn Blair ’s practice located?

375 Bridgeport Ave , Shelton, Connecticut, 06484

What is Ballard Glenn Blair ’s gender?

Male

Is Ballard Glenn Blair a sole practitioner?

No

Is Ballard Glenn Blair accepting new patients?

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What languages does Ballard Glenn Blair speak?

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Does Ballard Glenn Blair accept insurance?

Yes, Ballard Glenn Blair accepts insurance

Does Ballard Glenn Blair offers telemedicine?

Ballard Glenn Blair has not indicated if he offers telemedicine

What is Ballard Glenn Blair ’s professional license number?

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What is Ballard Glenn Blair ’s NPI number?

1356350201

Does Ballard Glenn Blair have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 213E00000X Podiatrist CT000419 CT
N 222Z00000X Podiatrist CT000419 CT
Y 213EP1101X Primary Podiatric Medicine 00419 CT
N 111NR0200X Radiology 00419 CT
N 213ER0200X Radiology 00419 CT
N 213ES0103X Foot & Ankle Surgery 00419 CT

National Provider Identifier

NPI 1356350201
Provider Name Ballard Glenn Blair
First Address Shelton, CT 06484
Second Address Shelton, CT 06484
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 07/08/2006
Last Update Date 04/09/2013

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
004070918 (05) CT
T23311 (02) CT

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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