Mr. Brian Thomas Ballard
Orthotic Fitter
760 E Washington St
Monticello
, Florida 32344-2549
Mr. Brian Thomas Ballard
Orthotic Fitter
760 E Washington St
Monticello
, Florida 32344-2549
(850) 509-0463
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About
Features
Specialties
- Orthotic Fitter
Languages spoken
- English
Location
First Address
- Mr. Brian Thomas Ballard
- 356 Luther Fountain Rd
- Monticello, FL
- Zip : 32344-4962
- Phone : (850) 509-0463
Second Address
- Mr. Brian Thomas Ballard
- 760 E Washington St
- Monticello, FL
- Zip : 32344-2549
- Phone : (850) 997-4400
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 225000000X | Orthotic Fitter | OFA 160 | FL |
| Y | 225000000X | Orthotic Fitter | ORF 168 | FL |
National Provider Identifier
| NPI | 1871529826 |
|---|---|
| Provider Name | Mr. Brian Thomas Ballard |
| First Address | Monticello, FL 32344-4962 |
| Second Address | Monticello, FL 32344-2549 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 23/06/2006 |
| Last Update Date | 11/09/2008 |
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.