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Contact Information

STEVE BALLESTEROS
2206 CAMILLE DR
SUITE C
COLUMBUS, GA31906-1002
 Phone: 706-442-2249
 Fax: 762-208-4985
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for STEVE BALLESTEROS · (Male)

NPI Number 1780067991
Status Active
Credentials
Entity Individual
Enumeration date 07/07/2015
Last updated 07/07/2015 - About 11 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 131812
  • GA Other 474359436 TRICARE
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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