NPI 1497012793 · live from the CMS NPI Registry
Danny Paul Ballentine, PA-C
Physician Assistant in Townshend, VT. National Provider Identifier 1497012793, active.
NPI record
| NPI | 1497012793 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 185 Grafton Road, Townshend, VT 05353 |
| Practice phone | 802-365-7920 |
| Mailing address | Po Box 216, 185 Grafton Rd, Townshend, VT 05353 |
| Enumerated | April 12, 2012 |
| Last updated | April 12, 2012 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 005.0031123 (VT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.