Ballard Glenn Blair
Podiatrist Radiology Foot & Ankle Surgery Primary Podiatric Medicine
375 Bridgeport Ave
Shelton
, Connecticut 06484
Ballard Glenn Blair
Podiatrist Radiology Foot & Ankle Surgery Primary Podiatric Medicine
375 Bridgeport Ave
Shelton
, Connecticut 06484
(203) 929-5277
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About
Features
Specialties
- Podiatrist
- Primary Podiatric Medicine
- Radiology
- Foot & Ankle Surgery
Languages spoken
- English
Location
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
Reviews
FAQs
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In what state does Ballard Glenn Blair practice in?
Where is Ballard Glenn Blair ’s practice located?
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Is Ballard Glenn Blair a sole practitioner?
Is Ballard Glenn Blair accepting new patients?
What languages does Ballard Glenn Blair speak?
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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)
Provider Location Address
Provider Mailing Address
Entity Type Code
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?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.