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Contact Information

MEGAN K BALLAS
105 E. SANTA FE
DOROTHY SMITH FAMILY MEDICAL CLINIC
CARNEY, OK74832
 Phone: 405-865-2020
 Fax: 405-865-2323
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MEGAN K BALLAS · (Female)

NPI Number 1245632884
Status Active
Credentials
Entity Individual
Enumeration date 09/25/2014
Last updated 04/23/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • CO License # CAPN0000251CNP
  • NM License # CNP-02481
  • OK License # 105652
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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