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Contact Information

THERESA L BALLOY
2540 ONYX DR
SHAKOPEE, MN55379-2769
 Phone: 743-913-1658
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for THERESA L BALLOY · (Female)

NPI # 1669253308
Status Active
Credentials
Entity Individual
Enumeration date 10/09/2023
Last updated 10/09/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • MN License # 2261025
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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