NPI 1265459200 · live from the CMS NPI Registry
Marshall Ballou
Social Worker in Tamc, HI. National Provider Identifier 1265459200, active.
NPI record
| NPI | 1265459200 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker 104100000X |
| Practice location | 1 Jarrett White Rd, Tripler Army Medical Center, Tamc, HI 96859 |
| Practice phone | 808-433-2998 |
| Mailing address | Po Box 10886, Honolulu, HI 96816 |
| Enumerated | July 16, 2006 |
| Last updated | July 8, 2007 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker primary | 104100000X | 101333 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.