Doctor Name: | MR. ISAAC S BALL |
NPI Number: | 1205067519 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | P.A. |
License Number: | PA001183 |
Business Practice Address: | 46 Fairview Ave Skowhegan, ME - 049761481 |
Business Phone Number: | 2074745121 |
Business Fax Number: | 2074749261 |
Mailing Address: | Po Box 468, SKOWHEGAN |
State: | ME |
Postal Code: | 049760468 |
Phone Number: | 2074745121 |
Fax Number: | 2074749261 |
NPI Enumeration Date: | 08/04/2009 |
NPI Last Update Date: | 04/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | PA001183 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | ME |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |