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Contact Information

ELISSA R BALLAS, DO
101 BODIN CIR
TRAVIS AFB, CA94535
 Phone: 707-423-7210
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Diagnostic Radiology

2085R0202X 30 Physician/Diagnostic Radiology
Indicates primary specialty

NPI Profile & details for ELISSA R BALLAS · (Female)

NPI Number 1285657486
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/26/2006
Last updated 07/01/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • NE License # 2242
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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