| Ballard Enterprise, L.l.c | |
|
1083 S Main St, Snowflake, AZ 85937-5582 | |
| (928) 536-3550 | |
| (928) 536-3550 |
| Full Name | Ballard Enterprise, L.l.c |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 1083 S Main St, Snowflake, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164611141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 6020 (Arizona) | Primary |
| Provider Name | Melvin K Ballard |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1548294200 PECOS PAC ID: 9234024332 Enrollment ID: I20040218000229 |
| Mailing Address | Practice Location Address |
|---|---|
| Ballard Enterprise, L.l.c 1083 S Main St, Snowflake, AZ 85937-5582 Ph: (928) 536-3550 | Ballard Enterprise, L.l.c 1083 S Main St, Snowflake, AZ 85937-5582 Ph: (928) 536-3550 |
Dr. Kenneth L. Wiltbank, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 229 S Main St, Snowflake, AZ 85937 Phone: 928-536-3235 | |
Dr. Justin James Woodside, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1300 S Main St Ste A, Snowflake, AZ 85937 Phone: 928-536-5525 Fax: 928-484-6070 | |
Dr. Melvin Kerry Ballard, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 932 S Main St Ste 202, Snowflake, AZ 85937 Phone: 928-536-3550 Fax: 928-536-3552 | |
Mr. Wesley Michael Bowman, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1083 S Main St, Snowflake, AZ 85937 Phone: 928-536-4826 Fax: 928-536-5213 | |
Dr. Lanny Craig Crockett, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1300 S Main St, Ste A, Snowflake, AZ 85937 Phone: 928-536-5525 Fax: 928-484-6070 | |
Bowman Chiropractic Clinic Ltd Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 1083 S Main St, Snowflake, AZ 85937 Phone: 928-536-4826 |