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Contact Information

ERIC BALLOU, DDS
5355 W STATE ST
BOISE, ID83703-3333
 Phone: 208-853-4687
 Fax: 208-853-4690
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for ERIC BALLOU · (Male)

NPI # 1952561003
Status Active
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 06/12/2008
Last updated 02/12/2024 - About 2 years ago
Sole proprietor 1 Yes
Identifiers
  • ID License # D-4142
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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