Provider Demographics
NPI:1497764120
Name:BALL, BETTY FRANCES (MD)
Entity Type:Individual
Prefix:DR
First Name:BETTY
Middle Name:FRANCES
Last Name:BALL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3911 AVENUE B
Mailing Address - Street 2:SUITE 2300
Mailing Address - City:SCOTTSBLUFF
Mailing Address - State:NE
Mailing Address - Zip Code:69361-4617
Mailing Address - Country:US
Mailing Address - Phone:308-630-2030
Mailing Address - Fax:308-630-2060
Practice Address - Street 1:3911 AVENUE B
Practice Address - Street 2:SUITE 2300
Practice Address - City:SCOTTSBLUFF
Practice Address - State:NE
Practice Address - Zip Code:69361-4617
Practice Address - Country:US
Practice Address - Phone:308-630-2030
Practice Address - Fax:308-630-2060
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2008-01-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE231082084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE100251826-00Medicaid
NEP00162271OtherRAILROAD MEDICARE
NE278450OtherNEBRASKA BLUE SHIELD
NED36519Medicare UPIN
NE278450Medicare PIN