Edward D. Ball D.O., P.C.

Organization Active NPI Family Medicine Physician · Grand Ledge, MI

NPI 1497901524 · NPPES record last updated Aug 18, 2008

Key facts

NPI
1497901524
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
EB006567 (MI)
Legal business name
EDWARD D. BALL D.O., P.C.
Practice address
313 S. Clinton
Grand Ledge, MI 48837
Phone
(517) 627-2303
Fax
(517) 622-2295
NPI assigned
Aug 8, 2008
Organization subpart
No

Authorized official

Name
Ms. Tamara J McKay
Title
Office Manager
Phone
(517) 627-2303

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X EB006567 MI Yes

Addresses

Primary practice location

313 S. Clinton
Grand Ledge, MI 48837

Mailing address

PO Box 313
Grand Ledge, MI 48837
Phone (517) 627-2303

Other identifiers

IdentifierTypeStateIssuer
1358979MedicaidMI

Other providers in Grand Ledge, MI

All providers in Grand Ledge, MI · Family Medicine Physician in Michigan

Sources for this page

Verify at the official NPI Registry.