Provider Demographics
NPI:1295848612
Name:BALL, BRIAN C (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIAN
Middle Name:C
Last Name:BALL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
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Mailing Address - Street 1:10779 BROOKPARK RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44130-1164
Mailing Address - Country:US
Mailing Address - Phone:216-898-1445
Mailing Address - Fax:216-898-1447
Practice Address - Street 1:10779 BROOKPARK RD
Practice Address - Street 2:SUITE 102
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44130-1164
Practice Address - Country:US
Practice Address - Phone:216-898-1445
Practice Address - Fax:216-898-1447
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH2924111NX0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NX0100XChiropractic ProvidersChiropractorOccupational Health