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Contact Information

PATRICK J BALLINGER SR, ATC, LAT
3131 LAS VEGAS BLVD S
LAS VEGAS, NV89109-1967
 Phone: 702-770-3752
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
Indicates primary specialty

NPI Profile & details for PATRICK J BALLINGER SR · (Male)

NPI # 1093788259
Status Active
Credentials ATC, LAT
Entity Individual
Enumeration date 02/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • NV License # 0506005
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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