Provider Demographics
NPI:1265138150
Name:BALL, CHRISTOPHER LOUIS (PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LOUIS
Last Name:BALL
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 WALNUT ST
Mailing Address - Street 2:
Mailing Address - City:TRAER
Mailing Address - State:IA
Mailing Address - Zip Code:50675-1142
Mailing Address - Country:US
Mailing Address - Phone:319-478-8198
Mailing Address - Fax:319-478-2933
Practice Address - Street 1:1306 HWY 57
Practice Address - Street 2:UNIT A
Practice Address - City:PARKERSBURG
Practice Address - State:IA
Practice Address - Zip Code:50665-1049
Practice Address - Country:US
Practice Address - Phone:319-346-1330
Practice Address - Fax:319-346-1332
Is Sole Proprietor?:No
Enumeration Date:2023-02-02
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA118519363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA118519OtherIOWA BOARD OF PHYSICIAN ASSISTANTS