Holly Ballard, CPT

NPI 1407997182 · on the registry since 2007 · sole proprietor

Practice

Address: 211 N Eddy St
South Bend, IN 46617
Phone: (574) 237-9295
Fax: (574) 239-1554
Organisation at this address: Icp Ppo, Llc
Pra Medical Inc
The South Bend Clinic Llc
The South Bend Clinic Llp
The South Bend Clinic Llp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 126

Registry record

Primary taxonomy: Pharmacy Technician
183700000X
Licence states on file: IN
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana